go back

Maine rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $78.14 / $78.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.09 / $115.30 / $168.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $138.60 / $193.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $136.09 / $201.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $72.98 / $78.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.39 / $132.11 / $189.48