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Maine rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $25.61 / $16,429.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.48 / $13.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $13.41 / $34.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $13.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $27.60 / $16,429.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $12.07 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $19.32