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Pennsylvania rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $10.10 / $15.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $6.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.94 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $9.72 / $15.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $12.56
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $6.21