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Pennsylvania rates for HCPCS J9274

Injection Tebentafusp-Tebn 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.26 / $460.23 / $659.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $238.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.19 / $235.52 / $353.28
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.28 / $225.28 / $225.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $217.09 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $225.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.70 / $209.70 / $271.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.26 / $338.66 / $659.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $219.26 / $370.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $328.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.80 / $217.09 / $217.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $231.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $230.12 / $290.00