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Pennsylvania rates for HCPCS J2704

Injection, propofol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $9.69 / $132.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $5.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $505.39 / $688.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.10 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.75 / $1.97
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $505.39 / $688.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $9.98 / $110.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $7.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,306.62 / $9,553.87 / $16,066.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.16