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Maine rates for HCPCS 15740

Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.69 / $864.69 / $864.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.44 / $878.63 / $1,356.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.12 / $1,083.61 / $1,650.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.58 / $1,368.07 / $1,987.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.93 / $1,291.14 / $2,131.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.69 / $864.69 / $864.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.44 / $936.80 / $1,356.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.51 / $1,405.98 / $2,246.85