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Maine rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.02 / $157.02 / $169.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.38 / $174.38 / $174.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.52 / $57.52 / $57.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $57.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $69.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.02 / $157.02 / $169.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.53 / $57.53 / $169.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $81.78