go back

Pennsylvania rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.08 / $138.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.65 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.65 / $1.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.08 / $240.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.95