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Maine rates for HCPCS 15274

App Skn Sub Grft T/A/L Area>=100scm Adl 100sqcm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $62.71 / $128.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.44 / $76.98 / $120.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.64 / $89.59 / $156.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $95.84 / $165.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $62.96 / $128.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.38 / $102.52 / $174.12