go back

Maryland rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.32 / $27.32 / $75.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $100.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $75.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $82.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $141.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $93.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $62.14 / $62.14