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Maine rates for HCPCS Q4151

Amnioband Or Guardian Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $140.28 / $140.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $137.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $134.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $140.28 / $140.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $195.59