go back

Maine rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.66 / $119.37 / $245.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.89 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.18 / $56.18 / $56.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $22.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.16 / $42.15 / $245.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $19.87 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.17 / $27.26