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Pennsylvania rates for HCPCS J9317

Injection, sacituzumab govitecan-hziy, 2.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $84.85 / $15,569.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.64 / $46.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.60 / $39.36 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $37.64 / $37.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $37.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $39.36 / $45.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.69 / $39.69 / $40.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $61.89 / $15,569.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $37.00 / $89.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $55.47 / $70.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $36.28 / $36.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $38.68
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.58 / $32.58 / $37.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.58 / $32.58 / $37.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $38.46 / $50.10