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Maine rates for HCPCS Q0510

Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $25.00 / $35.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $29.52 / $29.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $47.50 / $47.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $72.50 / $106.61