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Maine rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $52.48 / $54.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $53.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $54.95 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $53.70 / $77.62