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Pennsylvania rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.73 / $54.99 / $71.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.46 / $34.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.34 / $27.34 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $26.16 / $26.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $25.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $26.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $27.34 / $37.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.81 / $504.81 / $504.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.73 / $40.10 / $71.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $25.46 / $57.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $49.00 / $59.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.78 / $25.20 / $25.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $27.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $25.65 / $29.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $25.65 / $29.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $26.71 / $40.29