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Pennsylvania rates for HCPCS J7638

Dexamethasone, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.15 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.15 / $0.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.13 / $0.24