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Maine rates for HCPCS A0396

Als Specialized Service Disposable Supplies; Esophageal Intubation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $19.61 / $21.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $24.20 / $24.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.90 / $28.92 / $60.47