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Maine rates for HCPCS J1302

Enjaymo IV SOLN 1100 MG/22ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $43.76 / $47.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $21.91 / $21.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.25 / $22.91 / $59.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $22.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.76 / $43.76 / $47.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $21.91 / $47.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $28.29