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Maine rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.20 / $20.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $26.92