go back

Maryland rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.39 / $99.24 / $943.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $31.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.15