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Pennsylvania rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $67.61 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $41.69 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $10.00 / $10.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.11 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.15
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.22 / $2.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.70 / $8.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $70.79 / $691.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $28.84 / $309.03
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $1,819.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $3.02 / $30.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.18 / $20.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.18 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.16