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Pennsylvania rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $15,561.49 / $30,498.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.19 / $13,524.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $18.46 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $17.02 / $17.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $21.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.36 / $22.42 / $47.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $18.29 / $18.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $9,336.99 / $32,686.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $18.89 / $13,524.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $27.40 / $30.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $17.02 / $17.02
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $17.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $16.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $14.41 / $16.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $18.04 / $22.98