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Maine rates for HCPCS J0699

Injection Cefiderocol 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $5.61 / $6.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.90 / $2.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.94 / $7.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.61 / $5.61 / $6.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.90 / $6.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.63