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Maine rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $24.36 / $77.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.28 / $6.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $6.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $16.73 / $55.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.28 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $9.80