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Maine rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.67 / $4,236.37 / $4,654.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $120.23 / $249.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.95 / $148.47 / $233.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.62 / $167.89 / $298.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.87 / $184.36 / $318.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,806.69 / $4,236.37 / $4,956.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $120.23 / $241.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.15 / $193.53 / $311.63