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Maryland rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.03 / $989.03 / $1,104.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.62 / $991.52 / $1,226.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.08 / $1,156.08 / $1,156.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $1,001.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.29 / $1,523.52 / $2,329.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.40 / $1,138.78 / $1,655.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.95 / $1,308.77 / $1,348.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.50 / $1,133.50 / $1,133.50