go back

California rates for HCPCS J2840

Injection Sebelipase Alfa 1 Mg (Reinstated 01/01/2017). Savacort-50 Up To 50 Mg (Del 03/31/2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.46 / $1,145.56 / $1,347.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.69 / $508.46 / $865.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.59 / $862.40 / $1,933.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $520.71 / $1,016.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $98.10 / $612.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.46 / $508.46 / $1,260.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $837.00 / $1,206.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,705.65 / $2,705.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $727.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $663.65 / $867.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $1,087.26