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Maine rates for HCPCS J0219

Injection, avalglucosidase alfa-ngpt, 4 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.71 / $187.71 / $202.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $97.71 / $97.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.30 / $98.28 / $256.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $80.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $97.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.71 / $187.71 / $202.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.15 / $97.71 / $202.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.91 / $80.91 / $117.32