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Pennsylvania rates for HCPCS J1980

Injection, hyoscyamine sulfate, up to 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $69.95 / $136.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $82.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.28 / $36.79 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $36.79 / $36.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.62 / $81.52 / $136.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.14 / $55.08 / $109.61
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $55.08 / $55.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $31.69 / $36.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.69 / $31.69 / $36.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $74.56