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Maine rates for HCPCS B4162

Enternal Formula For Pediatrics Special Metabolic Needs For Inherited Disease

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $4.19 / $4.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $4.19 / $4.19