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Pennsylvania rates for HCPCS J1100

Injection, dexamethasone sodium phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $7.46 / $76.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $1.32 / $4.37
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $468.86 / $1,003.86
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $1.68 / $5.93
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.15 / $963.82
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $7.81 / $78.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $1.31 / $5.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,021.02 / $9,785.49 / $15,690.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.16