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Maryland rates for HCPCS J2680

Injection Fluphenazine Decanoate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $10.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $9.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $24.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $9.41 / $9.41