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Maine rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.23 / $862.23 / $929.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.75 / $315.89 / $339.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.14 / $357.66 / $1,019.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.15 / $321.72 / $321.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.23 / $862.23 / $929.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.75 / $315.89 / $339.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $449.08