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Maryland rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $6.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.67 / $7.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.76 / $4.88