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Maine rates for HCPCS J9039

Injection Blinatumomab 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.06 / $381.06 / $410.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $170.82 / $197.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.08 / $182.60 / $520.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $170.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.51 / $164.25 / $164.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $164.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.06 / $381.06 / $410.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.84 / $172.47 / $333.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $164.25 / $238.16