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Maryland rates for HCPCS Q4233

SurFactor or NuDyn, per 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,120.10 / $5,120.10 / $5,120.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.00 / $4,317.00 / $4,639.00