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Maryland rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.59 / $17.59 / $17.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $23.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $17.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $21.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $25.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $19.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $16.61 / $16.61