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Maine rates for HCPCS 15953

Exc Trchntric Pr Ulc W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.51 / $803.51 / $803.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.77 / $1,246.38 / $1,931.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.31 / $1,371.24 / $2,181.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.57 / $1,512.69 / $2,240.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.51 / $803.51 / $803.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.87 / $1,381.86 / $2,015.58