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Maine rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.79 / $1,180.79 / $1,272.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.32 / $628.62 / $628.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.52 / $618.23 / $1,612.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $616.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.79 / $1,180.79 / $1,272.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.32 / $628.62 / $1,272.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $737.99