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Maine rates for HCPCS J9216

Injection, interferon, gamma 1-b, 3 million units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,551.70 / $23,551.70 / $25,378.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,324.29 / $8,628.84 / $10,151.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,156.42 / $26,156.42 / $26,156.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $8,628.84 / $8,628.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,304.94 / $8,628.84 / $8,628.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $8,628.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,628.84 / $8,628.84 / $8,628.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,551.70 / $23,551.70 / $25,378.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,324.29 / $8,628.84 / $10,151.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,459.66 / $8,459.66 / $12,266.51