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Eptifibatide Injection

Pennsylvania rates for HCPCS J1327

Injection, eptifibatide, 5 mg

Rates data updated July 2026.

How much does Eptifibatide Injection cost?

$10.23per 5 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10.23 for each 5 mg of this drug. The price depends on where it is billed: about $10.23 from a physician practice, and about $20.42 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$10.23
At a hospital outpatient department
$20.42

The same drug, in the same amount, costs 100% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$10.23 to $10.23
FacilityA hospital or hospital-owned outpatient department$20.42$12.88 to $47.86

How much rates vary

Facilitymedian $20 · 10th to 90th $10 to $62Professionalmedian $10 · 10th to 90th $10 to $14
$5$10$20$50$100facility $20professional $10

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$25.12
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$12.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$35.48
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$169.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$17.38
Typical High
$63.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$47.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$33.11
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$18.20

Where Pennsylvania sits

The same service costs 3.8 times more in Montana than in Missouri. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 43rd of 51

$10.23

MT $36.31MO $9.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.