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Maine rates for HCPCS 90296

Diphtheria antitoxin, equine, any route

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.58 / $2.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.60 / $18.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.14 / $25.12