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Maine rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,493.12 / $8,493.12 / $9,152.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $3,808.72 / $5,027.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,542.59 / $4,446.81 / $11,601.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $3,660.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.83 / $3,660.83 / $4,433.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,493.12 / $8,493.12 / $9,152.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,660.82 / $4,209.95 / $9,152.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,840.29 / $3,660.83 / $5,308.20