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Maine rates for HCPCS A4723

Dialys Sol Fld Vol > 2999cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $20.53 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $55.61 / $55.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00