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Maryland rates for HCPCS J1447

Injection Tbo-Filgrastim 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $623.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.31 / $0.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40