go back

Maryland rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $44.70 / $276.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $40.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $20.90 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $27.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $21.53 / $45.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $24.11 / $78.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.22