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Pennsylvania rates for HCPCS J2793

Rilonacept Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $41.46 / $68.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.71 / $26.72 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $26.72 / $26.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $41.46 / $68.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $55.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.64 / $27.64 / $27.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $27.10 / $37.43