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Maine rates for HCPCS Q4199

Cygnus matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $115.60 / $115.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $122.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $111.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $115.60 / $115.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.15 / $111.15 / $161.16