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Pennsylvania rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.50 / $2.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.88 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.45 / $2.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $0.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.30