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Virginia rates for HCPCS J9271

Injection, pembrolizumab, 1 mg

Facilitymedian $100 · 10th–90th $60–$28,8400%10%20%10th90th$100Professionalmedian $62 · 10th–90th $59–$15,8490%50%10th90th$62$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $165.96 / $35,481.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $30,199.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $102.33
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $114.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $72.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $63.10
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $89.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $61.66 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $63.10 / $69.18