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Maine rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $139.52 / $268.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.13 / $188.08 / $269.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.85 / $236.17 / $346.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.75 / $209.41 / $349.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.67 / $153.31 / $303.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.00 / $242.57 / $337.56