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Maine rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $168.09 / $168.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $164.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $161.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $168.09 / $168.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $234.35