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Pennsylvania rates for HCPCS J0894

Injection, decitabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.91 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $4.27 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.60 / $0.71 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.10 / $1.35
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.29 / $35.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $114.82 / $165.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $2.00 / $1,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.45 / $52.48
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $30.20 / $69.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $1.29 / $1.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.29 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.69 / $1.78