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Pennsylvania rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $1.83 / $1,333.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.68 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $3.08 / $5.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.70 / $1,333.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.78 / $1.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $27.40 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.63 / $0.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.67 / $1.14