go back

Pennsylvania rates for HCPCS J0692

Cefepime Hcl For Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $15.24 / $148.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.23 / $4.43
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.53 / $2,017.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.22 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $34.18 / $55.43
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.48 / $1,936.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $20.43 / $148.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.24 / $3.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.22 / $1.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $2.58