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Maine rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.74 / $4,457.05 / $5,377.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.74 / $1,295.06 / $2,335.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.27 / $1,940.87 / $2,861.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.04 / $2,072.16 / $3,217.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.50 / $2,238.65 / $3,316.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,079.93 / $4,457.05 / $5,377.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.74 / $1,330.43 / $2,335.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.91 / $2,076.19 / $2,954.02