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Maine rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $32.47 / $13,455.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $13.51 / $17.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $15.78 / $41.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $15.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.14 / $32.47 / $13,455.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.21 / $26.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.99 / $19.48