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Maine rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.77 / $137.77 / $162.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.77 / $137.77 / $137.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $162.08 / $235.02