go back

Maine rates for HCPCS J9020

Injection, asparaginase, not otherwise specified, 10,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.57 / $169.57 / $182.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.52 / $59.42 / $62.13
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
$62.13 / $62.13 / $64.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.50 / $66.50 / $246.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.57 / $169.57 / $182.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.52 / $59.42 / $62.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $105.98