go back

Pennsylvania rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $177.26 / $293.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $119.58 / $119.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.26 / $115.60 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.60 / $115.60 / $115.60
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $177.26 / $293.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.17 / $119.58 / $235.16
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $161.91