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Maine rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $67.68 / $252.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $14.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.72 / $18.93 / $148.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $19.77 / $30.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $19.29 / $20.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $14.18 / $17.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $63.38 / $248.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $14.18 / $16.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.59 / $28.00