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Pennsylvania rates for HCPCS J0172

Injection, aducanumab-avwa, 2 mg

Insurance Carrier
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.92 / $8.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.24 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $8.32