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Maine rates for HCPCS A4306

Disposable drug delivery system, flow rate of less than 50 ml per hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.01 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $16.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.41 / $16.60