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Maine rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.37 / $101.37 / $101.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.81 / $101.37 / $101.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $124.62 / $145.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $120.28 / $216.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.74 / $101.37 / $101.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $136.00 / $187.00