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Maine rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.84 / $83.84 / $90.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $30.72 / $36.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.71 / $30.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $30.72 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $30.72 / $30.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.84 / $83.84 / $90.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.63 / $30.72 / $36.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $43.50