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Maine rates for HCPCS J0584

Injection, burosumab-twza, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.20 / $1,123.20 / $1,210.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.50 / $582.70 / $582.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.50 / $588.08 / $1,534.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.04 / $476.04 / $576.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.20 / $1,123.20 / $1,210.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.50 / $582.70 / $1,210.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.04 / $484.14 / $726.21