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Pennsylvania rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $42.80 / $55.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.34 / $22.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.75 / $19.70 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $18.16 / $18.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $42.80 / $55.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.48 / $55.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $18.16 / $18.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.99 / $15.99 / $18.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $15.99 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $25.08