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Maine rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,931.20 / $64,931.20 / $69,969.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,949.83 / $23,789.46 / $27,987.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,672.42 / $3,621.31 / $9,522.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $24,228.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,931.20 / $64,931.20 / $69,969.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,949.83 / $23,789.46 / $27,987.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $33,818.35