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Maine rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.78 / $36,843.72 / $86,140.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $61.79 / $72.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.49 / $72.17 / $188.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $71.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.23 / $148.53 / $91,103.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $64.98 / $81.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $89.12