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Maine rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $3.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.04 / $3.55