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Maine rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.21 / $1,079.09 / $3,208.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $21.16 / $34.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.10 / $22.62 / $64.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $21.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $161.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $20.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.21 / $50.88 / $1,079.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.55 / $22.26 / $35.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $29.51