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Maine rates for HCPCS J2180

Injection, meperidine and promethazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.44 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.80 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $4.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $23.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $9.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $6.61