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Maine rates for HCPCS J0690

Injection Cefazolin Sodium 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $49.52 / $99.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.83 / $1.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $26.47 / $113.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.87 / $1.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.20