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Maine rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $25.96 / $27.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.43 / $12.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.60 / $34.60 / $34.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $13.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $25.96 / $27.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.43 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $11.19 / $16.79