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Maine rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $851.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $6.17 / $6.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $1.45