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Maryland rates for HCPCS J0745

Injection Codeine Phosphate Per 30 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.23 / $1.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.21 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55