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Pennsylvania rates for HCPCS C9101

Injection, oliceridine, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $3.09 / $3.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.98 / $3.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.32 / $3.41
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32