go back

Maryland rates for HCPCS J9245

Injection, melphalan HCl, not otherwise specified, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $108.03 / $108.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $96.86 / $179.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $108.04 / $108.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.69 / $133.69 / $280.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $122.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.52 / $95.90 / $659.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $107.41 / $175.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $133.69 / $145.84