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Pennsylvania rates for HCPCS J2323

Tysabri IV CONC 300 MG/15ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $56.46 / $13,515.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $26.66 / $18,554.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.13 / $26.03 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $24.90 / $26.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $24.00 / $24.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.20 / $50.63 / $74.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.37 / $59.84 / $12,171.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $27.59 / $11,191.32
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $24.00 / $24.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.82 / $23.82 / $27.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $27.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $34.79