go back

Maine rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.69 / $194.69 / $209.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $151.63 / $151.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.27 / $151.04 / $397.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $47.60 / $47.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.32 / $125.32 / $151.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.69 / $194.69 / $209.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.33 / $151.63 / $209.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.67 / $46.67 / $314.17