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Maine rates for HCPCS J0637

Injection, caspofungin acetate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.55 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.63 / $4.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.57 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $12.59