go back

Maine rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $162.18 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $524.81 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $162.18 / $363.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.88