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Pennsylvania rates for HCPCS J9274

Injection, tebentafusp-tebn, 1 mcg

Facilitymedian $447 · 10th–90th $224–$6760%10%20%10th90th$447Professionalmedian $224 · 10th–90th $224–$2950%50%90th$224$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$223.87 / $489.78 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $302.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $302.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $371.54 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $229.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $275.42
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $223.87 / $223.87
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $446.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $588.84
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $257.04
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $223.87 / $263.03