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Pennsylvania rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $6.83 / $8.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.95 / $7.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.16 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $5.84 / $5.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $5.14 / $8.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.95 / $8.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $2.92 / $2.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $4.03