go back

Maine rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.75 / $26.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $14.13 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.75 / $26.92