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Maine rates for HCPCS J2720

Injection, protamine sulfate, per 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $21.38 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.89 / $89.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $3.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.58 / $2.34