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Maine rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $479.81 / $479.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $461.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $479.81 / $479.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $668.97