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Maine rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
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
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.57 / $5.57 / $6.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $6.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.40 / $3.48