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Maine rates for HCPCS Q4170

Cygnus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $40.89 / $40.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $40.89 / $40.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $58.97