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Maine rates for HCPCS A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $645.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.31 / $0.54