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Maine rates for HCPCS 66030

Injx Anterior Chamber Eye Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $169.67 / $268.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $143.36 / $212.46
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$181.93 / $214.03 / $316.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.35 / $238.56 / $356.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $215.99 / $336.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $156.13 / $268.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $227.14 / $293.72