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Pennsylvania rates for HCPCS J1450

Injection, fluconazole, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $10.47 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $7.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.90 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $4.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $4.47
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.76 / $7.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $46.77 / $645.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $10.47 / $51.29
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $13.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $2.57 / $6.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.57 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $8.13