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Maine rates for HCPCS J0600

Injection Edetate Calcium Disodium Up To 1000 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,867.40 / $14,867.40 / $16,020.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,664.71 / $7,810.03 / $7,810.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,201.39 / $7,784.26 / $20,308.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $7,760.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,867.40 / $14,867.40 / $16,020.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,664.71 / $7,810.03 / $16,020.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $9,292.15