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Maine rates for HCPCS Q4112

Cymetra, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $906.96 / $915.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $906.96 / $906.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $1,526.14