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Maine rates for HCPCS 15934

Excision Sacral Pressure Ulcer W/Skin Flap Clsr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.48 / $752.48 / $752.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.57 / $1,191.61 / $1,883.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.92 / $1,279.83 / $2,043.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.83 / $1,474.66 / $2,184.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.48 / $752.48 / $752.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.57 / $1,286.76 / $1,963.21