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Pennsylvania rates for HCPCS J0594

Injection, busulfan, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $4.30 / $5.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $2.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.95 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.88 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.95 / $1.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.14 / $5.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.86 / $4.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $27.40 / $42.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.88 / $0.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.93 / $1.61