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Maine rates for HCPCS J3145

Testosterone Undecanoate 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $5.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.29 / $2.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.50 / $6.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $5.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.29 / $2.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.06 / $3.11