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Pennsylvania rates for HCPCS J1335

Injection Ertapenem Sodium 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $55.12 / $308.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.91 / $171.87
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $11.70 / $2,036.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $10.70 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.30 / $112.91 / $220.80
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $11.37 / $1,955.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $50.28 / $298.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $13.54 / $85.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $9.86 / $9.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.37 / $15.37 / $17.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.37 / $15.37 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $18.04