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Maine rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $105.78 / $105.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $105.78 / $105.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $147.49