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Maine rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $269.15 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $28.18 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $269.15 / $1,445.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $24.55 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.17