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Maine rates for HCPCS Q4159

Affinity1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.15 / $213.15 / $213.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $213.15 / $213.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $225.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $213.15 / $213.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $297.19