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Maryland rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $81.91 / $31,585.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $98.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $81.91 / $82.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $76.53 / $78.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $96.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $82.08 / $86.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $91.37 / $97.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $76.53 / $110.58