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Maine rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.70 / $474.70 / $511.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $212.80 / $248.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.00 / $248.54 / $648.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.06 / $204.61 / $370.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $204.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.36 / $195.36 / $236.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.70 / $474.70 / $511.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $212.87 / $344.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.92 / $204.61 / $296.68