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Maine rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,637.34 / $5,637.34 / $6,074.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,527.09 / $2,953.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,161.14 / $2,701.31 / $7,700.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,521.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,503.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,637.34 / $5,637.34 / $6,074.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,551.39 / $4,100.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,523.34