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Maine rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $58.21 / $89.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.43 / $14.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.97 / $31.97 / $31.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $12.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.64 / $25.85 / $84.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.75 / $20.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $15.51