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Maine rates for HCPCS J0364

Injection, apomorphine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.65 / $96.65 / $104.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.35 / $107.35 / $107.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $35.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $42.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.65 / $96.65 / $104.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $35.40 / $104.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $34.72 / $53.03