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Maryland rates for HCPCS J0567

Inj., cerliponase alfa 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $118.17 / $118.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $119.58 / $151.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $112.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.35 / $125.35 / $125.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $190.02