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Pennsylvania rates for HCPCS J3420

Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $3.47 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.62 / $4.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $53.70 / $85.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.69 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.12 / $1.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.41 / $30.20
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $3.72 / $22.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.91 / $4.68
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $177.83 / $436.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $2.04 / $3.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.74 / $3.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.17