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Maryland rates for HCPCS J7799

NOC drugs, other than inhalation drugs, administered through DME

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $8.96 / $64.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00