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Maine rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $128.82 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.32 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.50 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $16.22 / $19.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.80 / $16.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $154.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.80 / $28.18