go back

Maine rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $265.75 / $604.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.25 / $4.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.91 / $11.91 / $11.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.26 / $70.88 / $406.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.25 / $5.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $5.48