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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
$721.66 / $721.66 / $1,649.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $157.21 / $264.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.66 / $1,649.50 / $3,089.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $157.21 / $306.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $219.20