go back

Maine rates for HCPCS J0131

Injection, acetaminophen, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $54.95 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.19 / $0.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $54.95 / $190.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.19