go back

Pennsylvania rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $11.88 / $60.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.76 / $2.83
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $423.39 / $906.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $1.89 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $5.86 / $11.52
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $536.40 / $906.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $11.88 / $68.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.76 / $4.99
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.65 / $1.74 / $1.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.66