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Maine rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $27.69 / $27.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $32.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $27.69 / $27.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $46.59