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Maine rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.51 / $9.51 / $10.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.95 / $4.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $4.98 / $12.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.51 / $9.51 / $10.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.95 / $10.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $6.15