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Pennsylvania rates for HCPCS J9022

Inj, atezolizumab,10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.93 / $10,072.20 / $35,511.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $92.25 / $116.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.39 / $89.39 / $91.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $99.10 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $94.79 / $94.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.17 / $91.34 / $91.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $91.34 / $94.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $99.10 / $115.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.06 / $189.12 / $225.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.93 / $276.70 / $35,043.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $92.25 / $205.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $147.19 / $179.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.17 / $91.34 / $91.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $91.34 / $96.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.80 / $80.80 / $93.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.80 / $80.80 / $93.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $96.82 / $126.14