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Maine rates for HCPCS J0894

Injection, decitabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.62 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.14 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.79 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.14 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.78