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Pennsylvania rates for HCPCS J1640

Injection, hemin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.18 / $79.95 / $103.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.52 / $64.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.52 / $37.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $35.47 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $34.18 / $34.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.51 / $58.32 / $103.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.52 / $103.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.25 / $34.18 / $34.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $29.04 / $33.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $29.04 / $33.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.17 / $34.17 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $47.20