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Pennsylvania rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Facilitymedian $98 · 10th–90th $58–$1620%10%20%10th90th$98Professionalmedian $58 · 10th–90th $54–$580%50%10th$58$50.0$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
$57.54 / $97.72 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $57.54 / $57.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $199.53 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $87.10 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $77.62