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Maine rates for HCPCS Q0112

All potassium hydroxide (KOH) preparations

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.83 / $12.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $5.11 / $8.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $7.78 / $41.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.33 / $5.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $12.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.55 / $8.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $5.83 / $7.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $5.83 / $9.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $5.11 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.83 / $8.06