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Pennsylvania rates for HCPCS J1720

Hydrocortisone Sodium Succ I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.30 / $46.78 / $97.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $21.53 / $35.65
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $302.92 / $648.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $23.12 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $22.12 / $22.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.11 / $21.31 / $21.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $29.18 / $60.27
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.33 / $26.24 / $622.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.41 / $47.35 / $117.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $21.53 / $54.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.11 / $21.31 / $21.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $20.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $17.88 / $20.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $29.43