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Pennsylvania rates for HCPCS J0129

Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Facilitymedian $95 · 10th–90th $46–$2750%10%10th90th$95Professionalmedian $46 · 10th–90th $44–$2,4550%50%10th90th$46$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $97.72 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $45.71 / $2,884.03
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $48.98 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $154.88 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $77.62 / $77.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $53.70 / $190.55
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $93.33 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $44.67 / $66.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $66.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $50.12 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $81.28