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Pennsylvania rates for HCPCS J0878

Daptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $54.18 / $692.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $61.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $2,795.63 / $3,808.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $57,255.43
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.09 / $2.21
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $3,808.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $50.16 / $455.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.42
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.30 / $443.30 / $1,231.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05