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Maine rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.52 / $449.52 / $484.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.51 / $229.60 / $229.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.50 / $235.36 / $614.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $193.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $234.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.52 / $449.52 / $484.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.51 / $229.60 / $484.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $290.64