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Pennsylvania rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $48.26 / $74.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $30.16 / $30.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.03 / $28.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $28.27 / $28.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.16 / $46.45 / $74.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $30.16 / $60.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $51.84