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Maine rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $933.25 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,905.46 / $2,187.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,412.54 / $1,412.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $316.23 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $109.65 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $123.03 / $1,412.54