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Maryland rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.61 / $366.50 / $454.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.93 / $439.79 / $580.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $385.60 / $1,200.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.66 / $610.83 / $932.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.01 / $293.20 / $444.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.33 / $479.61 / $479.61