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Pennsylvania rates for HCPCS J1750

Inj Iron Dextran

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.72 / $703.35 / $1,218.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $39.33 / $700.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.69 / $19.64 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $18.79 / $18.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $18.11 / $18.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.03 / $42.20 / $64.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $779.83 / $1,218.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $39.33 / $691.41
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $18.11 / $18.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $19.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $19.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $23.63