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Maine rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $161.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $90.81 / $90.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.80 / $199.80 / $199.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $78.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $149.91 / $161.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $90.81 / $161.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $113.09