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Pennsylvania rates for HCPCS J2794

Risperidone, Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $23.19 / $33.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $11.09 / $27.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $11.91 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $11.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $10.98 / $10.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $18.67 / $33.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $11.09 / $33.26
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $10.98 / $10.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $11.59 / $13.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $13.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $15.48