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Maine rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $30.30 / $32.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.78 / $13.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.38 / $40.38 / $40.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $15.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $30.30 / $32.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.78 / $32.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $19.59