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Maine rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.12 / $26.24 / $65.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.16 / $3.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $15.80 / $66.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $3.16 / $5.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $4.78