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Pennsylvania rates for HCPCS J3121

Injection, testosterone enanthate, 1 mg

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.06 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.09