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Maine rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.40 / $25.40 / $27.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $11.65 / $30.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.40 / $25.40 / $27.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $27.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $10.95 / $16.43