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Maryland rates for HCPCS J2425

Injection, palifermin, 50 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $36.31 / $48.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88