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Maine rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,173.27 / $4,790.95 / $5,421.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.03 / $755.77 / $1,419.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.96 / $921.44 / $1,406.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.02 / $1,154.78 / $1,714.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.41 / $1,095.33 / $1,825.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,173.27 / $4,790.95 / $5,684.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.03 / $787.91 / $1,333.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.59 / $1,198.73 / $1,756.26