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Maine rates for HCPCS J7638

Dexamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $198.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.23