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Maine rates for HCPCS J2460

Oxytetracycline Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.94 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.36