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Maine rates for HCPCS J2510

Injection, penicillin G procaine, aqueous, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $44.67 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $43.65 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $138.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $45.71 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $45.71 / $66.07