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Maine rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $49.95 / $53.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.73 / $22.39 / $25.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.56 / $66.56 / $66.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $22.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $21.52 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $21.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.95 / $49.95 / $311.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.39 / $29.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $33.95