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Maine rates for HCPCS 15770

Graft; derma-fat-fascia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.16 / $607.08 / $1,095.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.81 / $830.20 / $1,291.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.98 / $916.89 / $1,451.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.36 / $1,010.43 / $1,496.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.16 / $655.91 / $1,095.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.14 / $935.80 / $1,353.38