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Pennsylvania rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $12.61 / $16.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.52 / $6.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.67 / $5.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $12.61 / $16.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.52 / $16.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.46 / $5.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.79 / $7.72