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Maine rates for HCPCS A2008

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $151.36 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $251.19