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Pennsylvania rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $17.62 / $22.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.38 / $27.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $7.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $7.30 / $7.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $17.62 / $22.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.61 / $22.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $7.30 / $7.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $9.60 / $11.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $11.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $13.38