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Maine rates for HCPCS J9295

Injection, necitumumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.96 / $6.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.09 / $6.37 / $18.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $5.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $14.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.02 / $9.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $8.31