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Maine rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $42.46 / $45.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $19.03 / $22.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.71 / $22.23 / $57.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $22.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.46 / $42.46 / $45.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $20.02 / $37.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $32.03