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Maine rates for HCPCS J1960

Injection, levorphanol tartrate, up to 2 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
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
$3.17 / $3.17 / $3.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $4.25 / $6.16