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Maryland rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.89 / $315.89 / $315.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $315.89 / $370.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.15 / $146.15 / $146.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $379.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.83 / $166.25 / $241.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $344.77 / $374.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.73 / $321.73 / $321.73