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Maine rates for HCPCS 80175

Lamotrigine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $56.23 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.00 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $114.82 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $19.05 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $15.14 / $19.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.18 / $16.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $58.88 / $173.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.18 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $26.92