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Maine rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $141 · 10th–90th $68–$1410%50%10th$141Professionalmedian $56 · 10th–90th $56–$680%50%90th$56$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $64.57 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $63.10 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $67.61
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $56.23 / $81.28