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Pennsylvania rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.91 / $459.49 / $658.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $238.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.89 / $235.32 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.09 / $225.09 / $225.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $216.90 / $216.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $225.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $271.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.91 / $338.11 / $658.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $218.91 / $369.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $325.35 / $420.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.63 / $216.90 / $216.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $228.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.98 / $188.98 / $219.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.98 / $188.98 / $219.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.67 / $229.91 / $283.05