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Maine rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $120.23 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $194.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $263.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $125.89 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $380.19