go back

Pennsylvania rates for HCPCS J3380

Injection, vedolizumab, IV, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $14,158.80 / $19,525.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $26.69 / $10,560.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $23.12 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.12 / $22.12 / $23.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $21.31 / $21.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $26.20 / $45.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.28 / $67.06 / $19,656.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $28.30 / $10,336.04
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.10 / $21.31 / $21.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.70 / $21.70 / $25.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $25.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $31.51