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Maryland rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.67 / $33,456.07 / $104,532.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $60.00 / $37,851.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $75.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $74.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $82.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.77 / $58.77 / $58.77