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Pennsylvania rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $473.77 / $11,354.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $169.81 / $445.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.78 / $178.56 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.80 / $170.80 / $178.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $164.59 / $164.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.81 / $416.96 / $11,354.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $180.06 / $511.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.27 / $164.59 / $164.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.25 / $168.25 / $195.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.25 / $168.25 / $195.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $232.46