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Maine rates for HCPCS 14020

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $5,248.07 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,584.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,380.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $5,248.07 / $6,025.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,380.38