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Maine rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.09 / $4,808.13 / $6,742.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.90 / $24.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $26.75 / $69.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $26.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.09 / $55.05 / $6,436.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $22.90 / $30.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $38.54