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Maine rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $12.06 / $60.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.73 / $2.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $6.99 / $6.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $5.65 / $38.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.73 / $5.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.96