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Pennsylvania rates for HCPCS J9030

Bcg Live Intravesical Instillation 1 Mg (Reinstated Code) Old Description: Bacille Calmett Guerin Bcg Termed 3/31/2003

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $6.61 / $642.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.29 / $111.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.54 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $3.38 / $3.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.26 / $3.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.54 / $4.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $7.30 / $850.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.59 / $91.30
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.42 / $1,286.42 / $1,286.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $6.40 / $6.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.08 / $3.26 / $3.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.46 / $4.50