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Maryland rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $29.44 / $72.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.75 / $2.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13