go back

Maine rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $63.24 / $65.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $44.69 / $44.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $63.24 / $65.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $132.38