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Maine rates for HCPCS J2278

Injection, ziconotide, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $23.52 / $25.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.26 / $12.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.81 / $12.32 / $32.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $12.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $23.52 / $25.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $12.26 / $25.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $14.70