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Pennsylvania rates for HCPCS J1130

Injection, diclofenac sodium, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.34 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.21 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.32 / $0.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.42
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.35