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Pennsylvania rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $67.61 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.95 / $6.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.65 / $0.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $11.48 / $13.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $6.46 / $1,905.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.12 / $6.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.89 / $1.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.89 / $1.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.68