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Pennsylvania rates for HCPCS J2547

Injection Peramivir 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.59 / $4.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.58 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.49 / $4.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $3.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.89