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Maine rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,219.46 / $1,219.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,172.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,219.46 / $1,219.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,700.21