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Maryland rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $63.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.27 / $50.27 / $50.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $49.62 / $49.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $35.15 / $52.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.65 / $48.65 / $70.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $35.79 / $35.79