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Maryland rates for HCPCS J0257

Glassia Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $5.71 / $5.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $7.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $5.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51