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Pennsylvania rates for HCPCS J0712

Injection, ceftaroline fosamil, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $10.42 / $114.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.26 / $8.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.90 / $4.59 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $4.23 / $4.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $9.92 / $114.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.29 / $12.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.99 / $4.23 / $4.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $4.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.78 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $5.97