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Maine rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $26.77 / $28.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.00 / $13.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.17 / $14.02 / $36.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $13.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.77 / $26.77 / $28.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.00 / $15.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $16.73