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Maine rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.66