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Maine rates for HCPCS J0285

Amphotericin B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.71 / $100.71 / $108.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $45.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.22 / $134.22 / $134.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $43.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $52.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.71 / $100.71 / $108.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $108.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $43.41 / $62.94