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Maine rates for HCPCS 14301

Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm

Facilitymedian $3,981 · 10th–90th $0–$25,7040%10%10th90th$3,981Professionalmedian $1,122 · 10th–90th $692–$1,9500%10%20%10th90th$1,122$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.40 / $3,981.07 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,096.48 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,258.93 / $1,778.28
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$128.82 / $177.83 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $2,454.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,380.38 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,023.29 / $1,862.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,412.54 / $2,398.83