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Pennsylvania rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $26.65 / $34.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.19 / $40.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $14.17 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $13.55 / $13.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $13.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $26.65 / $34.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $13.19 / $34.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $13.06 / $13.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $15.78 / $18.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $15.78 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $23.90