go back

Maine rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.01 / $176.25 / $189.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $79.03 / $90.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.52 / $92.28 / $240.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $92.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.01 / $176.25 / $189.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $84.40 / $104.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $124.86