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Maine rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $1,819.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $2,187.76