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Maine rates for HCPCS J3280

Injection Thiethylperazine Maleate Up To 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $17.21 / $18.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $17.21 / $18.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $6.90