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Maine rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.70 / $48.70 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $22.80 / $28.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $25.50 / $66.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $25.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.70 / $48.70 / $52.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.83 / $22.80 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.99 / $30.44