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Maine rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.40 / $1,377.00 / $1,377.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.40 / $1,000.00 / $1,064.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,593.19 / $2,444.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $2,142.61