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Maryland rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $85.11 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $12.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.19 / $5.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.19 / $2.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00