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Maine rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Facilitymedian $107 · 10th–90th $52–$1070%50%10th$107Professionalmedian $43 · 10th–90th $42–$510%50%10th90th$43$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $60.26 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $51.29
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $61.66