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Maine rates for HCPCS A4772

Blood Glucose Test Strips For Dialysis Per 50 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $12.69 / $13.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $27.82 / $38.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.45 / $32.45 / $32.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $41.67 / $41.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $12.69 / $13.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $11.50 / $41.67