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Maine rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.90 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $35.48 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $39.81