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Pennsylvania rates for HCPCS J2543

Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $21.91 / $131.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.08 / $4.32
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.42 / $636.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.15 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $11.50 / $36.22
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.38 / $611.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $31.83 / $131.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.18 / $3.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.07 / $1.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.96