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Pennsylvania rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Facilitymedian $603 · 10th–90th $309–$9550%10%10th90th$603Professionalmedian $316 · 10th–90th $309–$4790%20%40%10th90th$316$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $616.60 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $316.23 / $478.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $338.84 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $323.59 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $1,096.48 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $537.03 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $354.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $302.00 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $426.58