go back

Maryland rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $35.90 / $35.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $48.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $45.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $37.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $37.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.99 / $33.99 / $33.99