go back

Pennsylvania rates for HCPCS J0945

Brompheniramine Maleate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.25 / $1.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.68 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.20 / $1.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.55
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.38