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Pennsylvania rates for HCPCS J1628

Injection Guselkumab 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $175.17 / $227.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $76.73 / $104.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.06 / $82.42 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $78.84 / $78.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $75.97 / $75.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.89 / $72.89 / $259.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.61 / $175.17 / $227.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $83.11 / $227.57
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.67 / $75.97 / $75.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $75.97 / $106.13