go back

Maine rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.80 / $219.80 / $236.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $80.53 / $80.53
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
$82.11 / $82.11 / $82.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $83.69 / $94.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $83.69 / $83.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.80 / $219.80 / $236.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $80.53 / $236.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.74 / $137.37