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Maine rates for HCPCS J9358

Injection Fam-Trastuzumab Deruxtecan-Nxki 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.55 / $14,867.67 / $14,867.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $31.18 / $36.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $33.33 / $95.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $31.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $29.98 / $29.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $44.71 / $44.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $29.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.55 / $69.55 / $14,867.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $31.48 / $41.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.98 / $29.98 / $43.47