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Pennsylvania rates for HCPCS J1300

Injection, eculizumab, 10 mg

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.04 / $227.04 / $263.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.04 / $227.04 / $263.45