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Maine rates for HCPCS 90371

Hepatitis B immune globulin (HBIg), human, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $158.49 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $177.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $213.80