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Maine rates for HCPCS J0565

Injection, bezlotoxumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.41 / $92.41 / $99.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $48.19 / $54.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.53 / $48.37 / $126.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $39.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $48.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.41 / $92.41 / $99.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.42 / $45.80 / $99.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $39.83 / $57.75