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Pennsylvania rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $57.48 / $571.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.74 / $33.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $21.56 / $21.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $23.35 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $22.34 / $22.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $21.52 / $21.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $23.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.34 / $23.35 / $32.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.52 / $152.28 / $1,502.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.11 / $55.18 / $571.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $21.74 / $51.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $37.60 / $60.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $21.52 / $21.52
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $21.52 / $24.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $25.25 / $29.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.25 / $25.25 / $29.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.82 / $78.20