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Maine rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.42 / $440.98 / $518.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.72 / $1,336.72 / $1,336.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.33 / $440.98 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.09 / $440.98 / $440.98