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Maine rates for HCPCS B4081

Nasogastric Tubing With Stylet (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $10.88 / $10.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.69 / $26.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $14.32 / $20.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $17.17 / $17.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $17.72 / $21.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $10.88 / $10.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $26.24 / $31.10