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Maine rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.31 / $130.08 / $140.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $58.31 / $67.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $68.11 / $177.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $67.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.08 / $130.08 / $5,742.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.63 / $58.33 / $82.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.39 / $56.07 / $84.11