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Pennsylvania rates for HCPCS J3010

Fentanyl Citrate Injeciton

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $7.62 / $97.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.51 / $6.60
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $162.79 / $221.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.19 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.10 / $1.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $5.85 / $10.34
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $162.79 / $221.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $8.60 / $104.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.95 / $8.05
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,021.02 / $9,626.94 / $15,690.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.10 / $1.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $2.00