go back

Maine rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $576.09 / $576.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $576.09 / $576.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $830.91