go back

Pennsylvania rates for HCPCS J1429

Injection, golodirsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $244.80 / $404.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.46 / $159.36 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $159.36 / $159.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $244.80 / $404.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $324.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.19 / $163.19 / $163.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $160.00 / $220.96