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Maine rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.90 / $148.90 / $160.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.44 / $174.44 / $174.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $56.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $72.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.90 / $148.90 / $160.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $160.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $81.81