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Pennsylvania rates for HCPCS J0882

Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.02 / $8.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $4.76
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
$2.93 / $2.93 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.17 / $3.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.71 / $23.71 / $23.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $7.02 / $9.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.02 / $5.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $6.30 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $2.93 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
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 / $2.93 / $5.05