go back

Pennsylvania rates for HCPCS J3145

Injection, testosterone undecanoate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $4.66 / $6.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.29 / $2,047.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $2.24 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.06 / $2.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $3.40 / $6.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.38 / $1,890.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.06 / $2.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $2.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.79 / $2.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.92