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Maine rates for HCPCS J3400

Injection, triflupromazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $32.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $11.05 / $11.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $30.16 / $32.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.05 / $11.05 / $32.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $19.50