go back

Maine rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.95 / $762.88 / $762.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.87 / $839.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $919.55 / $919.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,997.50 / $3,495.63