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Pennsylvania rates for HCPCS J0129

Injection Abatacept 10 Mg (Code May Be Used For Medicare When Drug Adminstered Under The Direct Supervision Of A Physician Not For Use When Drug Is Self Administered) (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $93.15 / $7,105.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $45.89 / $5,015.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.67 / $47.85 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $45.77 / $47.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.61 / $44.11 / $44.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $44.11 / $44.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.14 / $53.00 / $53.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $93.15 / $13,846.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $57.04 / $2,855.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.61 / $44.11 / $44.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $44.11 / $44.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.50 / $43.50 / $50.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.50 / $43.50 / $50.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $44.11 / $80.72