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Maine rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.14 / $716.14 / $771.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $371.23 / $371.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.70 / $374.95 / $978.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $308.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $373.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.14 / $716.14 / $771.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $371.23 / $771.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $463.02