go back

Maine rates for HCPCS J1460

Injection, gamma globulin, intramuscular, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $58.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $125.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $50.12 / $72.44