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Maine rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.65 / $503.65 / $542.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $225.77 / $262.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.08 / $241.34 / $687.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $225.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.76 / $217.09 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.65 / $503.65 / $542.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $227.94 / $364.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $342.29