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Pennsylvania rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.33 / $25.00 / $156.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.35 / $60.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $19.71 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.85 / $18.85 / $18.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $44.86 / $302.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.33 / $27.21 / $156.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $19.87 / $53.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $18.17 / $18.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $22.17 / $25.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $22.17 / $25.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $33.25