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Maine rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.85 / $892.85 / $962.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.24 / $461.78 / $461.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.42 / $467.48 / $1,219.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $466.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.85 / $892.85 / $962.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.24 / $461.78 / $962.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $577.28