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Maine rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,895.75 / $2,895.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,784.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,895.75 / $2,895.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $4,037.35