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Maine rates for HCPCS J1551

Injection Immune Globulin (Cutaquig) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.01 / $33.01 / $35.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $17.19 / $17.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.77 / $17.29 / $45.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $17.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.01 / $33.01 / $35.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.80 / $17.19 / $35.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $24.44