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Maine rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.95