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Maine rates for HCPCS J9206

Injection, irinotecan, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $901.04 / $927.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.77 / $1.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.41 / $5.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $3.08 / $3.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $68.56 / $927.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.82 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.76