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Maine rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,605.10 / $14,605.10 / $15,738.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.58 / $5,917.95 / $15,439.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $5,351.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $6,480.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,605.10 / $14,605.10 / $15,738.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,351.02 / $5,351.02 / $15,738.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $7,869.15