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Maine rates for HCPCS J9293

Mitoxantrone Hydrochl / 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.40 / $55.40 / $59.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $24.83 / $35.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.24 / $26.55 / $75.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $24.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.88 / $23.88 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $23.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.40 / $55.40 / $59.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $25.07 / $49.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $34.63