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Maine rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.76 / $366.76 / $366.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.98 / $120.98 / $120.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $184.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97