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Maryland rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $8.02 / $29.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54