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Maryland rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.65 / $2.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.62 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $2.40 / $2.46