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Pennsylvania rates for HCPCS J3465

Injection, voriconazole, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.00 / $3.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $3.02 / $14.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.81 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.29 / $1.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.00 / $3.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.29 / $7.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $1.02 / $1.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.15 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.38