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Pennsylvania rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $132 · 10th–90th $56$1700%20%10th90th$132Professionalmedian $56 · 10th–90th $56$650%50%90th$56$50.0$200.0$1.0K$5.0K$20.0K

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
$57.54 / $141.25 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $61.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $194.98 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $95.50 / $95.50
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $85.11 / $147.91
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $61.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $64.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $57.54 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $77.62