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Maryland rates for HCPCS J3396

Injection, verteporfin, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.54 / $14.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $12.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $16.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50