go back

Maine rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $241.91 / $379.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.58 / $4.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $10.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.63 / $320.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.77 / $4.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.44