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Maine rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $42.66 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $42.66 / $245.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $17.38 / $25.70