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Maryland rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $494.43 / $494.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $632.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.44 / $494.44 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $631.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $504.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $525.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $484.40 / $484.40