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Maine rates for HCPCS A4680

Activated carbon filter, ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $31.84 / $34.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $69.29 / $86.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $31.84 / $34.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $28.55 / $60.75