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Maine rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $21.46 / $59.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $3.01 / $3.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.97 / $8.97 / $8.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $3.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $20.55 / $64.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.00 / $7.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $5.08