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Maine rates for HCPCS 96402

Chemotx Admn Subq/Im Hormonal Anti-Neo

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $39.28 / $64.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $50.97 / $77.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $47.25 / $74.20
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $74.23 / $74.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.99 / $52.23 / $96.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.92 / $42.93 / $64.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $43.89 / $72.22