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Maine rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,369.51 / $10,369.51 / $10,369.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.95 / $874.62 / $1,631.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.44 / $1,100.58 / $1,626.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.24 / $1,368.78 / $1,988.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.41 / $1,294.18 / $2,097.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,369.51 / $10,369.51 / $10,369.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.95 / $932.58 / $1,676.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.56 / $1,397.63 / $2,025.43