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Maine rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.33 / $38.33 / $41.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.18 / $18.34 / $19.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $20.07 / $52.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $20.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.33 / $38.33 / $41.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $18.34 / $41.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $24.78