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Pennsylvania rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $40.97 / $53.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $19.18 / $56.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $20.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.13 / $19.13 / $19.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $18.44 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.69 / $40.97 / $53.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $21.20 / $53.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $18.44 / $18.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $22.88 / $26.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $22.88 / $26.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $26.04