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Maine rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.09 / $557.22 / $557.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $817.95 / $1,224.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.71 / $957.13 / $1,382.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.43 / $979.99 / $1,475.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.09 / $504.09 / $557.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.80 / $958.83 / $1,417.13