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Maine rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,445.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,230.27 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $1,202.26 / $1,445.44