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Pennsylvania rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $11.35 / $39.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $7.63 / $7.86
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $42.50 / $90.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.07 / $8.27 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $7.92 / $7.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.63 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $10.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $12.68 / $29.47
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $6.84 / $87.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $10.51 / $39.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.63 / $9.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.10 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.63 / $7.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $10.36