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Maine rates for HCPCS J3472

Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.00 / $377.00 / $406.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.13 / $138.13 / $138.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $137.80 / $137.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.80 / $137.80 / $137.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $137.80 / $137.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.80 / $137.80 / $166.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.00 / $377.00 / $406.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.13 / $138.13 / $406.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.10 / $332.96 / $482.79