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Maine rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.10 / $921.10 / $921.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.92 / $1,397.92 / $2,208.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.31 / $1,494.45 / $2,495.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.35 / $1,730.48 / $2,563.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.10 / $921.10 / $921.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.27 / $1,517.77 / $2,303.73