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Maine rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $249.50 / $249.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $249.50 / $249.50