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Pennsylvania rates for HCPCS J7177

Inj., fibryga, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.83 / $3.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.24 / $1.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.83 / $3.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.24 / $3.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.23 / $1.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.70