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Maryland rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $28.62 / $69.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $5.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45