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Maine rates for HCPCS A4338

Indwelling Catheter; Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $9.83 / $9.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $7.72 / $7.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $10.29 / $12.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $8.75 / $12.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.97 / $13.97 / $13.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $9.00 / $9.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $8.55 / $19.66