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Maine rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.39 / $1.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $1.50