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Pennsylvania rates for HCPCS J1960

Levorphanol Tartrate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.61 / $0.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.53 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.59 / $0.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $6.00