go back

Maine rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,659.59 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,659.59 / $3,090.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $331.13