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Maine rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.36 / $17.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $4.66 / $13.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.19 / $4.19 / $96.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $9.72 / $10.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $10.48 / $24.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $6.29