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Maine rates for HCPCS J2469

Palonosetron Hcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $93.44 / $305.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $62.42 / $2,167.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $0.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.54