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Maine rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $7.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.53 / $3.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $3.55 / $9.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $6.77 / $7.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.53 / $7.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $4.23