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Maine rates for HCPCS J0285

Injection, amphotericin B, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $42.66 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $53.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $107.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $44.67 / $107.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $43.65 / $63.10