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Maine rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $105.12 / $113.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.13 / $57.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.85 / $55.04 / $143.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $54.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $105.12 / $113.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $49.56 / $91.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.14 / $45.31 / $79.29