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Maryland rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $29,465.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,399.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,044.14 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,331.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,425.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,107.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.17 / $1,027.17 / $1,027.17