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Pennsylvania rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $42.61 / $55.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.48 / $47.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.87 / $19.85 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.98 / $18.98 / $18.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $18.30 / $18.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.28 / $32.28 / $32.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $42.61 / $55.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $20.02 / $55.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.26 / $18.30 / $18.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.95 / $16.95 / $19.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $16.95 / $19.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $25.27