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Maine rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $77.50 / $128.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $33.83 / $57.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $55.76 / $260.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $16.71 / $28.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.49 / $34.69 / $57.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $36.01 / $59.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $41.77 / $50.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $41.77 / $186.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $41.77 / $43.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $25.06 / $51.00