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Pennsylvania rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $25.81 / $33.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $14.15 / $4,407.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $11.98 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $11.46 / $11.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $11.04 / $11.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.47 / $27.49 / $125.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $25.81 / $33.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.16 / $4,000.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $11.04 / $11.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.85 / $16.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $13.85 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $20.20