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Pennsylvania rates for HCPCS J2916

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $58.98 / $528.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.77 / $54.29
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.47 / $6,374.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $2.19 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $22.89 / $41.11
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.40 / $6,120.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $60.20 / $493.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.77 / $50.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.02 / $2.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.70