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Maine rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $436.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $426.58 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52