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Maine rates for HCPCS J1830

Injection interferon beta-1b, 0.25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.19 / $1,978.19 / $2,131.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.77 / $724.77 / $724.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.45 / $144.91 / $378.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.76 / $724.76 / $724.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.77 / $724.77 / $724.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.77 / $724.77 / $724.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.77 / $724.77 / $877.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,978.19 / $1,978.19 / $2,131.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.77 / $724.77 / $2,131.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.50 / $710.56 / $1,030.31