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Maine rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $34.67 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $125.89 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $19.05 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.85 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $13.49 / $16.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $26.92 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.49 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.49 / $27.54