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Pennsylvania rates for HCPCS J0300

Injection, amobarbital, up to 125 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.93 / $299.08 / $463.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $186.93 / $186.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $12.39 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.93 / $186.93 / $186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $186.93 / $186.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.93 / $287.87 / $463.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $186.93 / $371.99
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.93 / $186.93 / $186.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.93 / $186.93 / $186.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.24 / $114.24 / $114.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.26 / $183.26 / $253.08