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Maine rates for HCPCS Q4254

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

Facilitymedian $145 · 10th–90th $145$3630%50%90th$145Professionalmedian $355 · 10th–90th $117$3720%50%10th90th$355$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$371.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$354.81