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Maine rates for HCPCS J9212

Injection, interferon alfacon-1, recombinant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $26.89 / $28.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.15 / $9.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $9.66 / $9.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $6.55 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $6.55 / $6.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $26.89 / $28.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.15 / $9.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.59 / $16.80