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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
$395.51 / $395.51 / $426.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $202.14 / $202.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.97 / $207.08 / $540.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $206.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.51 / $395.51 / $426.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $202.14 / $426.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $298.33