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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
$8.21 / $8.21 / $8.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $3.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $4.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $8.21 / $8.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $8.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $17.11