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Maryland rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.22 / $8.74 / $93.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $22.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $17.67 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $23.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $35.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $26.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $16.73