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Maine rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $232.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.01 / $641.01 / $641.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $211.47 / $211.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $232.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $244.52 / $375.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.34 / $211.34 / $243.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $207.32 / $310.98