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Maine rates for HCPCS J2540

Penicillin G Potassium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.98 / $106.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $1.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $2.44 / $2.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.98 / $106.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.90 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.19