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Pennsylvania rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $1,859.90 / $2,050.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $1,192.24 / $2,050.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.77 / $794.83 / $2,050.66
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83