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Maine rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $794.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $933.25 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $794.33 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33