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Maine rates for HCPCS J0692

Injection, cefepime HCl, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $42.26 / $94.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.35 / $1.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $12.77 / $98.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.49 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $3.34