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Maine rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.20 / $196.20 / $211.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $87.95 / $102.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.22 / $94.02 / $268.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $87.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.57 / $84.57 / $117.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $84.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.20 / $196.20 / $211.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $88.80 / $142.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $122.63