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Maryland rates for HCPCS Q9992

Injection Buprenorphine Extended-Release (Sublocade) Greater Than 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,976.55 / $3,968.04 / $4,437.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.65 / $2,016.42 / $2,036.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.55 / $1,976.55 / $2,016.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,568.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,286.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,137.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.81 / $1,931.81 / $1,931.81