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Pennsylvania rates for HCPCS J1439

Injection, ferric carboxymaltose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1,312.50 / $3,074.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.38 / $2,073.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.20 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.11 / $1.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.46 / $5.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1,501.02 / $3,655.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.52 / $1,518.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.11 / $1.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.91