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Pennsylvania rates for HCPCS J1201

Injection, cetirizine HCl, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $38.38 / $49.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.68 / $21.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.23 / $17.92 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $17.14 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $16.52 / $16.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $38.38 / $49.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.68 / $49.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $16.52 / $16.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $15.10 / $17.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $15.10 / $17.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $22.81