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Pennsylvania rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $17.78 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $21.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $9.12 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.79 / $14.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $16.22 / $25.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.51 / $25.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.00 / $10.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $10.00 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $15.49