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Pennsylvania rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $20.38 / $82.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $9.11 / $24.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.31 / $9.77 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $9.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $20.38 / $85.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $9.11 / $26.48
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $9.01 / $9.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $10.26 / $11.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $11.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $12.74