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Pennsylvania rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $191.67 / $249.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $90.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.01 / $89.04 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.17 / $85.17 / $85.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $82.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $102.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.32 / $198.92 / $354.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $139.81 / $51,676.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.73 / $139.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $121.47
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.43 / $82.07 / $82.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $85.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.76 / $70.76 / $82.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.76 / $70.76 / $82.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $87.00 / $107.11