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Maine rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.80 / $6,156.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.84 / $1.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.85 / $4.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $6,156.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.84 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.52 / $2.66