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Pennsylvania rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $3.56 / $4.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.53 / $1.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.65 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $1.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $3.56 / $4.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.53 / $4.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.52 / $1.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.10