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Pennsylvania rates for HCPCS J2783

Injection Rasburicase 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.51 / $579.78 / $1,144.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $381.30 / $788.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.13 / $409.57 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.77 / $391.77 / $391.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.15 / $377.52 / $377.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.11 / $931.11 / $1,353.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.24 / $642.61 / $1,144.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $413.00 / $1,144.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.15 / $377.52 / $377.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $377.52 / $377.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.86 / $340.86 / $395.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.86 / $340.86 / $395.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.48 / $376.48 / $459.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.52 / $400.17 / $650.66