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Pennsylvania rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.77 / $11.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $13.46 / $16.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $10.77 / $10.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $8.19 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $11.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $11.02 / $12.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $16.70 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $8.19 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $12.97 / $13.89