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Maine rates for HCPCS J3230

Chlorpromazine Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.63 / $63.18 / $283.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $32.75 / $32.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.13 / $78.13 / $78.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $25.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.27 / $25.27 / $25.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $25.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $30.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.63 / $58.63 / $224.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.28 / $32.75 / $63.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $25.27 / $37.90