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Pennsylvania rates for HCPCS J0620

Injection, calcium glycerophosphate and calcium lactate, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $16.03 / $26.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $9.39 / $13.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.86 / $12.78 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $12.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.39 / $15.87 / $26.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $9.39 / $21.55
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.55 / $5.55 / $5.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $15.40 / $21.75