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Maine rates for HCPCS J2650

Prednisolone Acetate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.52 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $1.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.57 / $0.84