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Pennsylvania rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.91 / $2.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $1.40 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.40 / $2.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.10