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Maine rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.63 / $1,295.63 / $1,396.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.78 / $675.86 / $675.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.41 / $678.36 / $1,769.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $676.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.63 / $1,295.63 / $1,396.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.78 / $675.86 / $1,396.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.55 / $558.46 / $837.69