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Pennsylvania rates for HCPCS J0491

Injection, anifrolumab-fnia, 1 mg

Facilitymedian $43 · 10th–90th $19$8,7100%10%10th90th$43Professionalmedian $19 · 10th–90th $18$6,1660%50%10th90th$19$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $44.67 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $19.05 / $6,165.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $64.57 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $31.62 / $31.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $23.44 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $27.54 / $48.98
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $21.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $19.50 / $28.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $25.12