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Maine rates for HCPCS Q4259

Celera per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $742.04 / $742.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $784.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $713.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $742.04 / $742.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.50 / $713.50 / $1,034.58