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Maine rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,715.03 / $8,715.03 / $8,715.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.00 / $863.00 / $1,121.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,715.03 / $8,715.03 / $8,715.03