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Maryland rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $519.52 / $519.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $696.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $519.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $648.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $544.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $824.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.65 / $491.65 / $491.65