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Maine rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $13.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $6.28 / $6.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $6.63 / $17.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $13.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.68 / $6.28 / $13.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.92