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Maine rates for HCPCS A4222

Infusion Supplies For External Drug Infusion Pump Per Cassette Or Bag (List

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.22 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.10 / $27.09 / $29.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.31 / $38.31 / $38.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $32.22 / $34.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $26.54 / $64.13