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Maine rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $19.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.19 / $9.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $8.76 / $24.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $7.88 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $7.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $19.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.27 / $13.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $11.43