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Maryland rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.80 / $306.80 / $306.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $411.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.80 / $306.80 / $308.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $393.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.68 / $308.68 / $325.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.16 / $308.68 / $327.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.92 / $293.92 / $293.92