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Maine rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $91.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $37.93 / $38.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.44 / $113.44 / $113.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $44.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.12 / $85.12 / $91.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $37.93 / $91.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.19 / $36.69 / $55.04