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Pennsylvania rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $13.38 / $78.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.66 / $8.86
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.60 / $5,443.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $6.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $5.81 / $5.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.60 / $5.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $33.64 / $52.91
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.44 / $5,226.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $15.05 / $78.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.66 / $15.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.27 / $1,507.64 / $1,842.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.28 / $5.60 / $5.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $7.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $10.25