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Maine rates for HCPCS Q4121

Theraskin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.94 / $2,163.94 / $2,163.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $54.86 / $54.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $52.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.94 / $2,163.94 / $2,163.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $54.86 / $54.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $76.48