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Maine rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.93 / $176.11 / $189.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $78.94 / $104.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.45 / $92.21 / $240.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $91.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.11 / $176.11 / $189.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $78.97 / $153.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.52 / $75.91 / $113.87