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Maine rates for HCPCS A4301

Implantable Access Total Catheter Port/Reservoir (E.G. Venous Arterial Epidural Or Subarachnoid Peritoneal Etc.) (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $31.55 / $34.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $22.73 / $22.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.55 / $31.55 / $39.71