go back

Maine rates for HCPCS J9229

Inj inotuzumab ozogam 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,259.48 / $6,259.48 / $6,745.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.99 / $2,807.05 / $3,705.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,399.65 / $2,999.42 / $8,550.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,799.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.13 / $2,698.05 / $2,698.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,698.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,259.48 / $6,259.48 / $6,745.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.98 / $2,832.96 / $5,471.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,912.17