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Maine rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.40 / $469.53 / $469.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.29 / $614.61 / $897.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.59 / $754.36 / $1,164.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.02 / $735.23 / $1,225.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.40 / $469.53 / $677.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.30 / $774.13 / $1,185.33