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Maryland rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $11.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.31 / $9.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $5.26 / $6.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $9.57 / $9.57