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Maine rates for HCPCS 14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $917.21 / $3,936.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.02 / $209.50 / $328.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $263.76 / $406.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.29 / $303.29 / $459.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.04 / $317.54 / $470.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $3,936.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.02 / $228.22 / $340.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.32 / $311.58 / $420.34