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Maine rates for HCPCS J0278

Amikacin Sulfate Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.75 / $0.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.46 / $1.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.75 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.10