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Maine rates for HCPCS A4771

Serum clotting time tube, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.66 / $2.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51