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Maine rates for HCPCS J1720

Injection, hydrocortisone sodium succinate, up to 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $60.26 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $21.88 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $54.95 / $104.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.91 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $21.88 / $32.36