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Pennsylvania rates for HCPCS J0380

Injection Metaraminol Bitartrate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.82 / $2.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.19 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.19 / $1.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.76 / $2.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $2.27
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.59