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Maryland rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $393.87 / $675.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.00 / $470.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $393.87 / $396.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $401.08 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $401.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $392.09 / $424.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $401.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.91 / $395.26 / $531.72