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Maine rates for HCPCS Q4074

Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.27 / $165.27 / $165.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.36 / $491.36 / $491.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $158.91 / $179.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $192.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $165.27 / $165.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $238.38