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Maine rates for HCPCS 62120

Repair of encephalocele, skull vault, including cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.61 / $2,411.61 / $2,502.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,990.11 / $32,409.51 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.42 / $2,782.50 / $4,140.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.71 / $2,919.69 / $4,432.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.56 / $3,013.15 / $4,622.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.57 / $2,411.61 / $2,502.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.46 / $2,604.28 / $4,076.04