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Maine rates for HCPCS Q4116

Alloderm Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,827.26 / $94,880.78 / $97,812.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $26.44 / $31.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $31.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,036.22 / $55,827.26 / $97,812.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $26.44 / $10,920.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.11 / $31.11 / $45.11