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Maine rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $794.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $323.59 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $426.58 / $676.08