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Pennsylvania rates for HCPCS J0224

Injection, lumasiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $770.09 / $1,000.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $332.34 / $398.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.44 / $356.99 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.47 / $341.47 / $356.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $329.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.39 / $654.91 / $1,000.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $332.39 / $1,000.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.43 / $329.05 / $329.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.89 / $310.89 / $360.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $310.89 / $360.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.10 / $329.10 / $401.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $429.41