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Pennsylvania rates for HCPCS J0222

Injection, patisiran, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.97 / $233.58 / $303.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $100.97 / $256.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.18 / $108.45 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.74 / $103.74 / $108.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.31 / $99.97 / $99.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $99.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.82 / $198.64 / $303.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $100.97 / $303.45
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.31 / $99.97 / $99.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $99.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.75 / $100.75 / $116.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.75 / $100.75 / $116.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.97 / $99.97 / $172.30