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Maine rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.85 / $381.85 / $411.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $171.23 / $203.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.27 / $199.93 / $521.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $199.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.85 / $381.85 / $411.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.22 / $182.85 / $226.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $246.89