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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
$875.85 / $875.85 / $943.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.51 / $392.62 / $455.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.33 / $458.57 / $1,196.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.97 / $377.52 / $377.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $457.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.85 / $875.85 / $943.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.51 / $413.00 / $943.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $547.40