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Maine rates for HCPCS J0887

Injection, epoetin beta, 1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.52 / $1.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.52 / $2.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.13