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Maine rates for HCPCS A2004

XCelliStem, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $14.45 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.50 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $25.12