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Maryland rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $17.51 / $17.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.44 / $23.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $17.51 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $23.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $22.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67