go back

Maryland rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $11.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.96 / $13.06 / $15.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.38 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $16.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $29.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $12.16 / $12.16