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Pennsylvania rates for HCPCS J1095

Injection, dexamethasone 9%, intraocular, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.76 / $2.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.17 / $1.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.73 / $592.62 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.62 / $592.62 / $592.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.76 / $2.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.17 / $2.33
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $2.10