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Pennsylvania rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $9.44 / $135.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.62 / $2.90 / $3.22
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.68 / $2,432.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.14 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.71 / $18.20 / $96.17
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.60 / $2,335.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $10.38 / $135.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.93 / $7.05
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $2.90 / $2.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $2.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $2.90 / $4.09