go back

Maine rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $260.01 / $513.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $18.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $18.32 / $76.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $9.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $16.68 / $19.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $15.69 / $19.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $16.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $61.37 / $475.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $13.73 / $16.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.24 / $14.91