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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
$0.34 / $0.34 / $649.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.33 / $0.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.27
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
$2.02 / $2.02 / $2.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $649.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.21 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.31 / $0.71