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Pennsylvania rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $1.12 / $267.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $2.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.42 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $12.46 / $13.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.03 / $276.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $1.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.38 / $0.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.71