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Maine rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.88 / $183.88 / $198.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.43 / $96.06 / $96.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.70 / $96.28 / $251.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $95.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.88 / $183.88 / $198.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.43 / $96.06 / $198.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $118.89