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Maine rates for HCPCS Q4130

Strattice, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $125.89 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $177.83