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Maine rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.04 / $18,667.65 / $28,346.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $268.99 / $312.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.03 / $287.52 / $819.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $268.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.93 / $258.64 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $258.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.04 / $600.04 / $18,667.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $282.95 / $355.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $375.03