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Pennsylvania rates for HCPCS J3360

Injection, diazepam, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $32.18 / $78.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $7.42 / $10.09
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $7.86 / $272.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $7.97 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $19.59 / $53.60
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $7.86 / $261.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $23.06 / $78.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $7.91 / $18.76
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.93 / $1,089.52 / $1,352.15
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $7.35 / $7.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.55 / $8.55 / $9.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $7.35 / $12.67