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Maine rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $33.54 / $92.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $8.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.59 / $23.59 / $23.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.63 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $11.62 / $11.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $26.78 / $92.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.94 / $15.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $11.06