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Pennsylvania rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $893.04 / $1,160.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $388.70 / $1,156.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.89 / $417.52 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.37 / $399.37 / $399.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $384.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.46 / $936.67 / $1,160.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $388.70 / $1,160.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.06 / $384.85 / $384.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $384.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.32 / $391.32 / $454.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.32 / $391.32 / $454.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $411.79 / $543.80