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Pennsylvania rates for HCPCS J2405

Ondansetron Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $4.30 / $129.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $1.28 / $4.90
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $736.11 / $1,576.06
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.82 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $2.11 / $28.97
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $1,513.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $4.80 / $140.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $1.04 / $4.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.82 / $0.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.43