go back

Maryland rates for HCPCS A4615

Cannula Nasal (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $50.40 / $67.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.65 / $0.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $1.02 / $1.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.51 / $0.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.87