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Pennsylvania rates for HCPCS J1330

Injection Ergonovine Maleate Up To 0.2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $7.79 / $7.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.76 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $7.79 / $7.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.58 / $4.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $8.09