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Maine rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.17 / $84.17 / $90.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $37.74 / $43.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.27 / $40.33 / $114.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $37.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.44 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.17 / $84.17 / $90.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $39.69 / $49.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $52.61