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Maine rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.21 / $503.21 / $542.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $225.58 / $262.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.91 / $241.13 / $687.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $225.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.12 / $216.90 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $216.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.21 / $503.21 / $542.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $227.75 / $364.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $314.51