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Maine rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,466.66 / $8,466.66 / $8,466.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $626.82 / $980.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.07 / $815.38 / $1,168.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.96 / $909.53 / $1,304.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.39 / $883.24 / $1,354.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,466.66 / $8,466.66 / $8,466.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.24 / $735.77 / $1,143.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.52 / $798.13 / $1,290.83