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Maine rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.46 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.66 / $0.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.70 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.46 / $700.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.66 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.91