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Maryland rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.08 / $1,269.90 / $1,269.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.70 / $1,361.70 / $1,361.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.34 / $1,297.34 / $1,441.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,245.00 / $1,313.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.27 / $291.27 / $291.27