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Maine rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.97 / $167.97 / $181.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $61.54 / $72.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.89 / $71.09 / $202.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $61.54 / $67.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.96 / $63.96 / $63.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.97 / $167.97 / $181.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $61.54 / $72.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $87.49