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Pennsylvania rates for HCPCS J0520

Injection, bethanechol chloride, Myotonachol or Urecholine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $7.65 / $11.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $4.84 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $7.36 / $11.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $9.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $4.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $7.76