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Maine rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $12.88 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $12.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $12.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $28.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.75 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $11.22 / $16.22