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Maine rates for HCPCS Q4135

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $181.97
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
$25.70 / $25.70 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $177.83