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Maine rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.43 / $190.43 / $205.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $85.36 / $99.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.98 / $91.24 / $260.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $85.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $82.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.43 / $190.43 / $205.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.73 / $86.18 / $166.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $119.02