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Pennsylvania rates for HCPCS J3090

Injection, tedizolid phosphate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $4.47 / $5.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.98 / $4.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.81 / $2.13 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.96 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $3.26 / $5.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.98 / $5.81
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.96 / $1.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $2.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $2.71