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Maine rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $69.17 / $962.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $10.25 / $11.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.49 / $30.49 / $30.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $11.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $24.65 / $850.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $10.78 / $13.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $17.26