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Pennsylvania rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.04 / $1,307.03 / $1,698.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.04 / $1,422.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.99 / $605.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.53 / $579.53 / $605.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.15 / $953.41 / $1,698.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $564.15 / $1,698.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.85 / $558.46 / $558.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.88 / $542.88 / $629.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.88 / $542.88 / $629.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $788.74