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Pennsylvania rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $24.95 / $95.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $11.30 / $13.86
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.37 / $15.71 / $506.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $12.14 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $11.19 / $11.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $12.01 / $61.51
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.37 / $15.26 / $485.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $24.95 / $96.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $11.30 / $28.73
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.93 / $2,408.30 / $3,005.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $11.19 / $11.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $14.60