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Maryland rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $24.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $23.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $18.14 / $26.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $18.14 / $20.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $17.69 / $17.69