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Maine rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $57.35 / $98.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.18 / $1.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $50.08 / $214.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.34 / $2.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.87