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Maine rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $164.88 / $246.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.96 / $183.83 / $352.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $253.00 / $409.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $256.80 / $432.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.31 / $175.55 / $354.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.55 / $280.73 / $432.35