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Maine rates for HCPCS J9185

Fludarabine Phosphate 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $158.22 / $170.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $70.92 / $86.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.66 / $75.81 / $216.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $70.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $68.20 / $222.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $158.22 / $170.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $72.37 / $120.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $98.89