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Maine rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $93.34 / $93.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $93.34 / $93.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $130.13