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Pennsylvania rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $6,506.84 / $14,174.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $16.07 / $12,896.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.99 / $14.10 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $13.48 / $14.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.99 / $12.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $31.60 / $46.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $37.44 / $15,286.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $16.07 / $12,480.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $12.99 / $12.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $12.25 / $14.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $14.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $18.84