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Pennsylvania rates for HCPCS J1290

Injection, ecallantide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.97 / $1,357.18 / $1,763.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $585.76 / $1,296.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.83 / $629.21 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.85 / $601.85 / $601.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $579.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.79 / $989.99 / $1,763.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $585.79 / $1,763.17
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.14 / $579.97 / $579.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $579.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.60 / $516.60 / $599.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.60 / $516.60 / $599.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.97 / $579.97 / $756.86