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Maine rates for HCPCS J7175

Injection Factor X (Human) 1 I.U.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $22.69 / $24.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $11.99 / $11.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $11.87 / $30.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $11.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.69 / $22.69 / $24.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.17 / $11.99 / $24.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $9.77 / $14.27