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Pennsylvania rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.26 / $185.77 / $241.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $80.05 / $166.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $85.99 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.25 / $82.25 / $82.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.18 / $157.99 / $241.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $80.18 / $241.35
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.77 / $79.26 / $79.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $79.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.61 / $69.61 / $80.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $69.61 / $80.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.26 / $109.46