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Maine rates for HCPCS J0882

Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.04 / $3.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.64 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $2.93 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.33 / $7.33 / $7.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.04 / $5.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $4.25