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Maine rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.67 / $1,993.52 / $10,694.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.68 / $948.80 / $1,747.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.54 / $1,144.46 / $1,720.65
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$131.38 / $160.22 / $240.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.00 / $1,429.13 / $2,140.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.03 / $1,359.29 / $2,265.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $3,936.36 / $25,527.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.68 / $975.76 / $1,719.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.18 / $1,485.13 / $2,179.76