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Maine rates for HCPCS 80377

Drug/Substance Definitive Qual/Quant Nos 7/More

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $33.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $11.36 / $30.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.77 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $13.21 / $31.93