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Maryland rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $20.99 / $25.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $26.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $20.99 / $20.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $22.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.68 / $21.68 / $21.68