go back

Maine rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.27 / $293.39 / $38,972.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.05 / $141.80 / $141.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.57 / $142.56 / $371.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $117.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $142.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.27 / $272.27 / $38,972.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.05 / $141.80 / $293.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $117.36 / $176.04