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Pennsylvania rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $1,215.68 / $1,579.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $514.04 / $1,163.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.35 / $552.17 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.16 / $528.16 / $528.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.71 / $886.76 / $1,579.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $524.71 / $1,579.34
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.15 / $508.96 / $508.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.00 / $457.00 / $530.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.00 / $457.00 / $530.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $702.87