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Maine rates for HCPCS J9301

Injection, obinutuzumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.28 / $183.28 / $197.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $82.19 / $108.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.26 / $87.82 / $250.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $81.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.83 / $79.00 / $87.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.28 / $183.28 / $197.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.79 / $86.42 / $108.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $114.55