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Pennsylvania rates for HCPCS J9042

Injection, brentuximab vedotin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.64 / $604.94 / $75,580.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $331.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.55 / $280.60 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.39 / $268.39 / $268.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $258.64 / $258.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $268.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.13 / $248.13 / $323.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.24 / $687.28 / $724.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.02 / $263.02 / $276.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.10 / $634.47 / $75,580.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $261.23 / $459.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $182.10 / $442.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.00 / $258.64 / $258.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $268.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.65 / $213.65 / $247.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.65 / $213.65 / $247.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $274.16 / $337.53