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Pennsylvania rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Facilitymedian $2 · 10th–90th $1–$190%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.62 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.04 / $2.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.68 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $2.14 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.07 / $1.07
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.95 / $50.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.85 / $1.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.85 / $1.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $1.12