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Pennsylvania rates for HCPCS J2350

Injection, ocrelizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.30 / $39,413.25 / $105,287.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $66.01 / $54,384.54
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.07 / $61.07 / $61.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.79 / $64.45 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $64.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.05 / $59.41 / $59.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.65 / $72.27 / $203.11
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.07 / $61.07 / $61.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.30 / $181.49 / $105,287.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $68.31 / $52,810.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.05 / $59.41 / $59.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $59.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.65 / $59.65 / $69.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.65 / $59.65 / $69.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.41 / $59.41 / $82.56