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Maine rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.65 / $909.65 / $980.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.08 / $407.77 / $538.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.43 / $476.27 / $1,242.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $395.26 / $711.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $392.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $474.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.65 / $909.65 / $980.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $407.93 / $795.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.41 / $392.09 / $568.53