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Maine rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $157.66 / $246.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.10 / $2.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $6.25 / $6.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.69 / $5.05 / $208.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.10 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.54