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Maryland rates for HCPCS 90284

Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $14.89 / $14.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $15.17 / $16.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $14.28 / $14.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $16.64 / $16.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $21.24 / $21.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $19.94 / $23.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.14 / $10.14