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Maryland rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.69 / $2,440.69 / $2,440.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $3,368.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,440.69 / $2,440.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.36 / $2,413.36 / $2,503.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,865.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.41 / $2,429.89 / $2,676.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,704.98 / $2,940.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,413.36 / $2,413.36 / $3,294.95