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Maine rates for HCPCS J1290

Injection Ecallantide 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.53 / $1,345.53 / $1,449.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.16 / $701.79 / $701.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$561.23 / $704.48 / $1,837.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $702.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.53 / $1,345.53 / $1,449.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.16 / $701.79 / $1,449.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.96 / $579.97 / $840.96