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Pennsylvania rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $48.89 / $14,705.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.24 / $3,374.35
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $23.89 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $22.85 / $22.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $22.02 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.22 / $41.48 / $64.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $52.11 / $14,705.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $24.08 / $2,408.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $22.02 / $22.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.71 / $22.71 / $26.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $22.71 / $26.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $37.26