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Maryland rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.49 / $310.61 / $650.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $397.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.06 / $205.06 / $205.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.91 / $400.19 / $424.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.39 / $298.30 / $316.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.16 / $273.16 / $273.16