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Maryland rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $69.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.81 / $59.81 / $59.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.54 / $96.54 / $96.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.73 / $56.42 / $67.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.29 / $55.29 / $55.29