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Maryland rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $7.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.79 / $6.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37