go back

Maine rates for HCPCS 20101

Exploration of penetrating wound (separate procedure); chest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $457.09 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $467.74 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $489.78 / $1,258.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $660.69 / $1,258.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $562.34 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $954.99