go back

Maine rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.04 / $2.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $5.72 / $5.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $2.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.04 / $4.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.24