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Maine rates for HCPCS 15760

Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.44 / $715.35 / $1,128.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.06 / $904.57 / $1,377.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.56 / $1,143.46 / $1,678.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.57 / $1,068.54 / $1,772.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.44 / $792.50 / $1,128.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.14 / $1,179.17 / $1,709.87