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Maine rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $283.31 / $338.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $7.23 / $10.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $8.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $91.00 / $325.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.23 / $10.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $11.84