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Maine rates for HCPCS J9211

Idarubicin Hydrochloride 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.07 / $85.07 / $91.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $38.14 / $44.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.38 / $113.38 / $113.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $38.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.07 / $85.07 / $91.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $38.50 / $62.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $53.17