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Pennsylvania rates for HCPCS J0131

Injection Acetaminophen Not Otherwise Specified 10mg (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $35.00 / $167.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $14.31
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $414.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.45 / $1.20
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.08 / $414.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $32.00 / $99.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $94.60
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.02 / $5,660.73 / $14,243.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.11