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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
$794.83 / $794.83 / $794.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,409.33 / $2,409.33 / $2,409.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.82 / $794.82 / $794.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83