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Pennsylvania rates for HCPCS J0637

Injection Caspofungin Acetate 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $5.31 / $21.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.54 / $18.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.84 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.54 / $3.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.09 / $25.09 / $25.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $5.56 / $7.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $3.58 / $6.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.54 / $3.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $3.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $3.54 / $7.50