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Pennsylvania rates for HCPCS C9092

Injection, triamcinolone acetonide, suprachoroidal (Xipere), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.75 / $46.75 / $59.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.75 / $46.75 / $46.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.75 / $46.75 / $59.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $46.75 / $46.75