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Pennsylvania rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.09 / $1,872.35 / $2,432.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $804.05 / $1,258.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.14 / $863.69 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.13 / $826.13 / $826.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $806.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $968.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.99 / $754.33 / $948.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.15 / $1,365.77 / $2,432.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $810.75 / $2,432.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.03 / $796.09 / $806.51
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $796.09 / $968.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.65 / $704.65 / $817.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.65 / $704.65 / $817.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.44 / $796.09 / $1,038.90