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Pennsylvania rates for HCPCS J0697

Injection, sterile cefuroxime sodium, per 750 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $6.05 / $30.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.87 / $5.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $1.92 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $5.91 / $30.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.31 / $6.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.85 / $1.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $3.09