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Maryland rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11