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Maine rates for HCPCS J2690

Injection Procainamide Hcl Up To 1 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.61 / $683.68 / $736.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.13 / $235.13 / $306.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.17 / $357.96 / $933.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $294.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $356.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.61 / $683.68 / $736.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.13 / $235.13 / $736.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.69 / $294.69 / $442.04