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Maryland rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $36.69 / $40.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $31.35 / $36.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $46.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $84.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $38.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $28.26 / $28.26