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Maine rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.50 / $2.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $14.45 / $15.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $10.55 / $10.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.50 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.97 / $10.55