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Pennsylvania rates for HCPCS J9200

Injection, floxuridine, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.23 / $6,435.86 / $12,541.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,540.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,823.30 / $4,478.51 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.79 / $4,283.79 / $4,283.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,894.36 / $4,128.02 / $4,128.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,283.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.80 / $4,478.51 / $5,589.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.71 / $523.71 / $675.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.69 / $6,250.21 / $12,541.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,166.81 / $7,041.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $120.20 / $157.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,894.36 / $4,128.02 / $4,128.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,128.02 / $4,307.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.17 / $2,890.17 / $3,353.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.17 / $2,890.17 / $3,353.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,128.02 / $4,375.70 / $5,387.07