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Maine rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $16.96 / $18.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.11 / $9.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.60 / $22.60 / $22.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $8.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.96 / $16.96 / $18.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.11 / $18.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $12.79