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Maine rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $33.77 / $56.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $9.55 / $15.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.21 / $24.21 / $41.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $65.95 / $125.92
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.57 / $17.98 / $32.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.32 / $47.96 / $61.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.50 / $41.58 / $87.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $11.97 / $25.85
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.09 / $32.42 / $72.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $63.31 / $114.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.60 / $16.32 / $29.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.15 / $46.99 / $85.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $35.00 / $90.49
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.13 / $10.28 / $24.32
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.21 / $30.98 / $66.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.63 / $58.21 / $82.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.55 / $11.91 / $28.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.17 / $45.61 / $85.52