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Maine rates for HCPCS 19350

Nipple/areola reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,252.25 / $6,252.25 / $6,252.25
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,457.05 / $4,457.05 / $4,457.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.90 / $664.31 / $1,086.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.75 / $899.19 / $1,290.14
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,076.61 / $1,348.79 / $1,935.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.59 / $1,219.61 / $1,808.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.01 / $1,037.92 / $1,615.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,252.25 / $6,252.25 / $6,252.25
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,457.05 / $4,457.05 / $4,457.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.89 / $664.31 / $1,562.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.58 / $1,134.22 / $1,672.94