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Maine rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
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
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $14.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $10.08