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Maryland rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.55 / $558.55 / $558.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $748.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $711.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $581.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $805.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.22 / $542.22 / $542.22