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Maine rates for HCPCS J1835

Injection, itraconazole, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.68 / $115.68 / $124.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $42.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $42.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $51.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.68 / $115.68 / $124.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $124.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.28 / $42.28 / $63.42