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Maine rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.38 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $18.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $38.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $15.14 / $21.88