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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
$2.75 / $51.29 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $16.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $47.86 / $186.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.32 / $3.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.88