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Maine rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $73.34 / $262.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.98 / $1.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.41 / $5.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.38 / $176.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.98 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.75 / $3.06