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Maine rates for HCPCS J7340

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.17 / $565.17 / $609.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $253.35 / $294.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.74 / $302.25 / $772.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.54 / $243.61 / $424.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $291.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.17 / $565.17 / $609.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $255.31 / $408.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.07 / $243.61 / $353.23