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Maryland rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $93.33 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $36.31 / $416.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $1.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.14