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Maryland rates for HCPCS J1790

Injection Droperidol Up To 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.74 / $18.60 / $42.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $7.63 / $8.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $10.21 / $10.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $9.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $10.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $10.00