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Maine rates for HCPCS J1130

Injection, diclofenac sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
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
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.25 / $0.38