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Maine rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.04 / $147.04 / $158.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.87 / $27.45 / $71.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $53.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $22.60 / $27.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.04 / $147.04 / $158.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.87 / $53.87 / $158.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $52.82 / $76.59