go back

Pennsylvania rates for HCPCS J7999

Compounded drug, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $78.93 / $421.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $94.00 / $187.50
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.73 / $296.01 / $506.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $650.00 / $650.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $28.84 / $94.80
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.73 / $267.98 / $403.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.96 / $78.93 / $509.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $94.00 / $187.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $650.00 / $650.00