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Pennsylvania rates for HCPCS J2060

Injection Lorazepam 2 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $4.51 / $43.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.43 / $1.97
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $509.08 / $1,089.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.49 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.38 / $1.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $7.54 / $41.11
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.00 / $1,046.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $4.72 / $47.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.50 / $4.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.34 / $403.77 / $776.71
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $1.38 / $1.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.46 / $2.38