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Maine rates for HCPCS J7686

Treprostinil Inhalation Solution Fda-Approved Final Product Non-Compounded Administered Through Dme Unit Dose Form 1.74 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.93 / $1,846.93 / $1,990.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.94 / $827.94 / $968.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,461.42 / $2,461.42 / $2,461.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.09 / $796.09 / $948.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $796.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $964.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,846.93 / $1,846.93 / $1,990.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $840.16 / $1,344.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.19 / $796.09 / $1,168.13