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Maine rates for HCPCS A4615

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.59 / $0.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.53 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.51 / $1.15