go back

Pennsylvania rates for HCPCS J9246

Injection, melphalan (Evomela), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $36.82 / $52.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.68 / $21.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $20.07 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $19.20 / $19.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $27.10 / $52.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $18.68 / $52.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $18.50 / $18.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.04 / $16.04 / $18.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $16.04 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $19.61 / $32.61