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Pennsylvania rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $423.73 / $770.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $828.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.07 / $309.49 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.49 / $309.49 / $309.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.55 / $474.55 / $474.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $459.70 / $770.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.64 / $310.61 / $801.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $411.95