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Maryland rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $1,521.19 / $1,521.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.46 / $35.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $23.50 / $25.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $30.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $25.20 / $42.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $28.05 / $30.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $25.07 / $33.01