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Maine rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.18 / $1,122.18 / $1,209.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.63 / $411.15 / $483.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.01 / $475.00 / $1,354.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $411.14 / $443.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.18 / $1,122.18 / $1,209.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.63 / $411.15 / $483.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $584.47