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Maine rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.38 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.62 / $22.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.05 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $18.62 / $26.92