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Pennsylvania rates for HCPCS J0280

Aminophyllin 250 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.27 / $17.82 / $54.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $10.43 / $16.05
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $140.58 / $300.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $11.22 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $8.75 / $39.29
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $178.11 / $300.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.30 / $17.22 / $47.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $10.44 / $25.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.76 / $10.34 / $10.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.09 / $13.09 / $15.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $13.09 / $15.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $10.34 / $14.60