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Maryland rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $69.59 / $128.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.48 / $6.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.82 / $3.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.45 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.86 / $6.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $4.17 / $5.16