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Pennsylvania rates for HCPCS J0584

Injection, burosumab-twza, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.14 / $1,126.86 / $1,463.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $488.98 / $948.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.45 / $525.24 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.41 / $502.41 / $504.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.73 / $484.14 / $484.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.38 / $958.32 / $1,463.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $488.98 / $1,463.97
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.73 / $484.14 / $484.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $484.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.02 / $411.02 / $476.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.02 / $411.02 / $476.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $484.14 / $683.77