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Pennsylvania rates for HCPCS J9201

Injection Gemcitabine Hydrochloride Not Otherwise Specified 200 Mg (Desc Rvsd 1/1/20)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $69.26 / $385.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.16 / $194.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $2.96 / $2.96
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $7,183.75 / $15,380.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $3.39 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.13 / $3.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.39 / $4.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.90 / $39.78 / $567.17
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.17 / $3.21
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $3.63 / $14,767.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $65.70 / $405.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.56 / $175.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $17.50 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.13 / $3.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $3.50 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.32 / $38.36