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Pennsylvania rates for HCPCS J2840

Injection, sebelipase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $833.14 / $1,291.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.19 / $508.46 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.04 / $508.46 / $508.46
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $801.89 / $1,291.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $1,036.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.71 / $520.71 / $520.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $510.50 / $721.00