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Pennsylvania rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.66 / $480.36 / $624.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $207.33 / $1,454.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.68 / $221.98 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.33 / $212.33 / $212.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $204.61 / $204.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $204.61 / $261.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.59 / $200.06 / $235.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.33 / $352.29 / $624.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.61 / $227.32 / $1,454.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.03 / $204.61 / $204.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.06 / $204.61 / $261.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.97 / $199.97 / $232.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.97 / $199.97 / $232.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $204.61 / $257.81