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Maine rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $26.70 / $82.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.83 / $6.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.78 / $14.78 / $14.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $11.95 / $113.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.97 / $11.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $8.36