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Maine rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.40 / $28.40 / $30.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.40 / $12.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.54 / $31.54 / $31.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.40 / $10.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.40 / $10.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.40 / $28.40 / $30.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.40 / $12.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $14.79