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Maine rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $41.95 / $45.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.80 / $21.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $21.96 / $57.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $21.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.95 / $41.95 / $6,541.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.80 / $26.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $26.22