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Maine rates for HCPCS J3360

Diazepam Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $49.10 / $208.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $7.64 / $10.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $22.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $8.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $33.94 / $208.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.64 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $12.11