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Maine rates for HCPCS 80201

Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $23.99 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $112.20 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.08 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $13.49 / $16.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.02 / $14.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $15.49 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $24.55