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Maine rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,602.52 / $8,914.10 / $14,758.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.52 / $1,205.52 / $1,363.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.93 / $118.93 / $118.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,361.64 / $6,603.83 / $14,758.01