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Pennsylvania rates for HCPCS J2675

Injection, progesterone, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $1.47 / $2.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.71 / $3.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.76 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.53 / $2.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.76 / $2.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.70 / $1.28