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Pennsylvania rates for HCPCS J9261

Injection Nelarabine 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $148.31 / $201.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $79.86 / $87.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.95 / $86.64 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.88 / $82.88 / $82.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $79.86 / $79.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $81.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.87 / $86.64 / $111.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.68 / $376.68 / $413.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.01 / $138.16 / $311.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.01 / $79.86 / $160.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $217.20 / $350.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.34 / $79.86 / $79.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $82.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.28 / $135.28 / $156.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.28 / $135.28 / $156.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $84.65 / $131.43