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Maryland rates for HCPCS J1746

Injection Ibalizumab-Uiyk 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $79.39 / $25,513.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $106.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $100.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $82.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $84.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $77.13 / $77.13