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Pennsylvania rates for HCPCS J3000

Streptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.67 / $73.36 / $95.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $37.04 / $87.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.83 / $39.79 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $38.07 / $38.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $36.69 / $36.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.67 / $53.52 / $95.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.67 / $37.04 / $95.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $36.69 / $36.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $36.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $38.15 / $44.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $38.15 / $44.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.69 / $36.69 / $77.70