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Maine rates for HCPCS 13121

Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $556.04 / $13,034.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.85 / $351.85 / $666.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.08 / $449.55 / $643.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.74 / $534.29 / $856.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.45 / $521.85 / $878.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.04 / $2,221.28 / $13,034.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $351.85 / $691.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.15 / $584.96 / $862.27