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Maine rates for HCPCS J0130

Injection abciximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,753.34 / $3,753.34 / $4,044.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.15 / $1,375.15 / $1,375.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,730.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,753.34 / $3,753.34 / $4,044.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.15 / $1,375.15 / $4,044.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.63 / $1,388.63 / $2,082.94