go back

Pennsylvania rates for HCPCS J9027

Injection, clofarabine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $34.44 / $64.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $17.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $4.55 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $4.19 / $4.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $4.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $5.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $25.13 / $44.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $14.87 / $37.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $138.69 / $244.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $4.19 / $4.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.19 / $5.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $44.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $44.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.44 / $7.67