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Pennsylvania rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.55 / $1,156.97 / $1,503.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $500.50 / $749.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.98 / $537.62 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.24 / $514.24 / $537.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.38 / $1,156.97 / $1,503.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $500.50 / $1,503.07
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $495.55 / $495.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $495.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.87 / $462.87 / $537.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.87 / $462.87 / $537.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $684.35