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Maine rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $18.10 / $20.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $28.47 / $28.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.93 / $29.57 / $56.34