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Maine rates for HCPCS A4750

Blood tubing, arterial or venous, for hemodialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.08 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.37 / $10.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $6.03 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.37 / $8.91