go back

Pennsylvania rates for HCPCS J0699

Injection, cefiderocol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $5.62 / $7.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.44 / $2.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $2.62 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $2.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.78 / $7.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.44 / $7.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.42 / $2.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.16