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Maine rates for HCPCS Q4163

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $189.47 / $189.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $182.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $189.47 / $189.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $182.18 / $273.27