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Maryland rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $10.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.36 / $4.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.45 / $6.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.95 / $5.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.28 / $5.89