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Pennsylvania rates for HCPCS J0485

Injection, belatacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $9.10 / $7,631.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.93 / $9.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.22 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $4.03 / $4.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $8.66 / $15.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.93 / $9.10 / $3,369.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.97 / $11.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $3.89 / $3.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $3.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.78 / $4.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $3.78 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $3.89 / $5.08