go back

California rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.76 / $263.07 / $309.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $116.76 / $196.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.41 / $192.25 / $430.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $119.58 / $233.53
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.90 / $98.70 / $139.02
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $288.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.07 / $498.86 / $601.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $166.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $152.41 / $199.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $249.70