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Maine rates for HCPCS J1823

Injection Inebilizumab-Cdon 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.68 / $1,149.68 / $1,238.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.37 / $598.26 / $598.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.54 / $601.94 / $1,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $600.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.68 / $1,149.68 / $1,238.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.50 / $598.26 / $1,238.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.77 / $495.55 / $718.55