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Maryland rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $84.53 / $84.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $104.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $84.52 / $84.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.63 / $117.63 / $117.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $99.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $84.57 / $88.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $94.14 / $102.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.26 / $117.45 / $117.45