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Maine rates for HCPCS J2783

Injection, rasburicase, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $446.68 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $467.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $549.54