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Maine rates for HCPCS 80169

Everolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $34.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $13.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $18.32 / $71.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.49 / $5.49 / $9.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.39 / $19.98 / $29.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $15.69 / $19.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $13.73 / $16.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $34.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $13.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.24 / $14.91