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Pennsylvania rates for HCPCS J0881

Injection, darbepoetin alfa, 1 mcg (non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $7.74 / $2,136.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.20 / $1,026.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $3.17 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.84 / $2.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $8.86 / $29.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $5.97 / $541.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.01 / $720.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.84 / $2.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.11 / $5.05