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Maine rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.46 / $58.46 / $63.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.21 / $34.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.92 / $77.92 / $77.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $25.20 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $25.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.46 / $58.46 / $63.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.46 / $39.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $36.54