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Maine rates for HCPCS Q2050

Injection, doxorubicin HCl, liposomal, not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $141.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.23 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $87.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,623.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $107.15 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $165.96