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Maine rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.49 / $42.55 / $28,102.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $17.70 / $20.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $18.92 / $53.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $17.02 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.49 / $42.55 / $28,102.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.70 / $23.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $24.68