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Maine rates for HCPCS J7501

Azathioprine, parenteral, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $696.00 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.28 / $269.60 / $688.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $255.00 / $255.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.00 / $255.00 / $412.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $305.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.00 / $696.00 / $750.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $331.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $250.00 / $362.50