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Maine rates for HCPCS J2797

Injection Rolapitant 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.90 / $1.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $70.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.90 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.33