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Pennsylvania rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $10.77 / $161.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.48 / $4.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.74 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.45 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.74 / $5.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $28.79 / $114.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $11.61 / $263.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.86 / $9.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.30 / $8.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.45 / $3.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.66 / $7.01