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Pennsylvania rates for HCPCS J2794

Injection, risperidone (RISPERDAL CONSTA), 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $21.38 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $15.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $12.02 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $11.22 / $11.22
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $19.50 / $19.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $19.05 / $33.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $30.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $13.49 / $20.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $12.88 / $20.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $15.85