go back

Maine rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $91.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $75.86 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $63.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $67.61 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $97.72