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Maine rates for HCPCS Q2028

Injection Sculptra 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.67 / $0.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.21 / $3.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.67 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.67 / $1.01