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Maine rates for HCPCS J9153

Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.13 / $594.13 / $640.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $266.33 / $308.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.77 / $284.70 / $811.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $265.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.41 / $256.08 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.13 / $594.13 / $640.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $268.89 / $428.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.32 / $256.08 / $371.33