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Maine rates for HCPCS J1980

Hyoscyamine Sulfate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $150.34 / $172.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.96 / $166.96 / $166.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $35.46 / $42.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.34 / $150.34 / $172.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $162.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $54.00 / $78.30