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Maine rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,484.55 / $1,484.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,427.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,484.55 / $1,484.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $2,141.17