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Maryland rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $42.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $27.54 / $30.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $32.36