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Maine rates for HCPCS J0365

Injection, aprotinin, 10,000 kiu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.65 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $6.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $3.84