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Maine rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $20.90 / $22.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.91 / $10.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.86 / $27.86 / $27.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $10.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $20.90 / $22.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.91 / $22.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $13.52