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Pennsylvania rates for HCPCS J0690

Injection Cefazolin Sodium 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $11.35 / $96.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.12 / $15.92
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.07 / $823.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $8.30 / $20.02
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.04 / $790.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $20.73 / $99.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.67 / $19.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.80 / $0.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.46