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Maine rates for HCPCS Q4114

Integra Flowable Wound Matrix Injectable 1 Cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,554.19 / $1,554.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,542.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,554.19 / $1,554.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,166.89