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Maine rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1,109.25 / $1,650.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.51 / $690.04 / $1,318.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.82 / $848.22 / $1,281.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.79 / $1,071.64 / $1,580.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.98 / $1,022.91 / $1,705.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.91 / $1,650.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.51 / $708.74 / $1,288.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.01 / $1,098.03 / $1,635.26