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Maine rates for HCPCS J0480

Basiliximab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,873.50 / $10,873.50 / $11,717.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,874.33 / $5,653.69 / $5,653.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,535.46 / $5,693.12 / $14,852.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $4,686.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,686.85 / $4,686.85 / $5,675.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,873.50 / $10,873.50 / $11,717.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,874.33 / $5,653.69 / $11,717.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,053.98 / $4,686.85 / $7,041.97