go back

Maine rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $24.78 / $3,140.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $11.11 / $11.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $11.87 / $33.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $11.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $10.68 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $10.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.78 / $24.78 / $3,140.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $11.21 / $14.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $10.68 / $16.84