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Maine rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.35 / $3,036.35 / $3,271.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.57 / $1,009.78 / $1,112.45
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
$1,112.45 / $1,112.45 / $1,156.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $1,001.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.59 / $1,427.38 / $4,186.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.35 / $3,036.35 / $3,271.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.57 / $1,009.78 / $1,112.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.08 / $1,308.77 / $1,897.72