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Maine rates for HCPCS J1632

Injection Brexanolone 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.41 / $207.41 / $223.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $230.35 / $230.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $92.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.41 / $207.41 / $223.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $223.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $130.38