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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
$648.52 / $1,279.32 / $5,188.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.06 / $602.64 / $1,155.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.38 / $738.57 / $1,111.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.20 / $915.06 / $1,379.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.40 / $886.77 / $1,478.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.52 / $1,279.32 / $6,035.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.06 / $620.39 / $1,155.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.36 / $961.22 / $1,428.37