go back

Pennsylvania rates for HCPCS J0878

Injection, daptomycin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $69.18 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $61.66 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $8,511.38
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.07 / $0.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $69.18 / $630.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $61.66 / $181.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $446.68 / $1,230.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05