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Maine rates for HCPCS J9030

Bcg Live Intravesical Instillation 1 Mg (Reinstated Code) Old Description: Bacille Calmett Guerin Bcg Termed 3/31/2003

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $7.56 / $8.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.39 / $4.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.90 / $3.62 / $10.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $7.56 / $325.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.56 / $5.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.73