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Pennsylvania rates for HCPCS J0585

Injection, onabotulinumtoxinA, 1 unit

Facilitymedian $19 · 10th–90th $7–$2,8840%10%20%10th90th$19Professionalmedian $851 · 10th–90th $6–$3,0900%10%20%10th90th$851$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $19.95 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $891.25 / $3,090.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $21.88 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.46 / $6.46
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.22 / $11.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $13.18 / $24.55
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.77 / $17.38
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.46 / $11.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.31 / $7.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.41 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.91