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Pennsylvania rates for HCPCS J1610

Injection, glucagon HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.69 / $426.29 / $983.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $202.69 / $554.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.25 / $197.94 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.33 / $189.33 / $189.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.12 / $182.45 / $182.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $182.45 / $182.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.00 / $383.04 / $527.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.75 / $472.50 / $969.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $209.81 / $595.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.12 / $182.45 / $182.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $182.45 / $182.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $201.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $201.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $182.45 / $285.55