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Maine rates for HCPCS J1930

Somatuline Depot SC SOLN 120 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $85.13 / $8,550.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $35.40 / $44.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.95 / $41.36 / $107.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $44.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $41.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $8,550.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.39 / $35.42 / $46.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $59.59