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Maryland rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $17.10 / $62.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75