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Pennsylvania rates for HCPCS J2540

Penicillin G Potassium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $2.68 / $91.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.80 / $2.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.86 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $6.90 / $10.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $2.68 / $91.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.89 / $2.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.79 / $0.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.12