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Maine rates for HCPCS J9228

Ipilimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.67 / $38,696.18 / $38,696.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.47 / $190.82 / $251.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $203.97 / $581.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $190.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.05 / $183.48 / $183.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $183.48 / $183.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.67 / $425.67 / $38,696.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.48 / $192.65 / $372.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.96 / $183.48 / $266.05