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Maine rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.37 / $140.37 / $140.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.71 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $3.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.37 / $140.37 / $140.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $3.86