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Maine rates for HCPCS J2778

Ranibizumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.84 / $200.40 / $215.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $89.84 / $110.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.59 / $104.93 / $273.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $86.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $104.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.40 / $200.40 / $215.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.37 / $89.86 / $118.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.38 / $86.38 / $468.47