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Pennsylvania rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.51 / $0.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.51 / $0.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.51 / $1.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51