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Maine rates for HCPCS J9246

Injection, melphalan (Evomela), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.92 / $42.92 / $46.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $21.02 / $21.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $22.47 / $58.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $22.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.92 / $42.92 / $46.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $21.02 / $46.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $30.79