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Maine rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $31.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $12.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $16.91 / $132.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $5.07 / $14.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $17.53 / $27.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $17.23 / $18.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $15.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $31.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $10.36 / $25.03