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Pennsylvania rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $171.19 / $5,902.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $76.66 / $5,400.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.00 / $82.35 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.77 / $78.77 / $78.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $75.91 / $75.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.87 / $136.87 / $136.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.90 / $145.59 / $222.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.90 / $84.32 / $5,237.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $75.91 / $75.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.51 / $62.51 / $72.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.51 / $62.51 / $72.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $99.06