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Pennsylvania rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Facilitymedian $49 · 10th–90th $3$4790%5%10%10th90th$49Professionalmedian $2 · 10th–90th $2$550%50%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $51.29 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $54.95
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.40 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $8.32 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $4.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $15.49 / $43.65
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.39
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.63 / $5.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.14 / $2.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.14 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $4.07