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Pennsylvania rates for HCPCS J1730

Injection, diazoxide, up to 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.01 / $176.02 / $272.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $110.01 / $110.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.31 / $107.42 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.42 / $107.42 / $107.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.01 / $169.42 / $272.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $110.01 / $218.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.98 / $113.98 / $113.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.98 / $113.98 / $113.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $129.41 / $178.73