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Pennsylvania rates for HCPCS J0178

Injection, aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.94 / $1,848.69 / $2,401.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $1,806.00 / $3,818.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.51 / $837.07 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.67 / $800.67 / $800.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.88 / $771.56 / $771.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.50 / $2,134.50 / $2,134.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.94 / $1,702.50 / $2,401.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $1,806.00 / $3,883.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.88 / $771.56 / $771.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $771.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.33 / $898.33 / $1,042.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.33 / $898.33 / $1,042.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.56 / $771.56 / $1,118.76