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Maine rates for HCPCS A4305

Disposable drug delivery system, flow rate of 50 ml or greater per hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.49 / $7.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $6.49 / $6.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $5.13 / $12.42