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Pennsylvania rates for HCPCS J9371

Injection, vincristine sulfate liposome, 1 mg

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,924.42 / $3,425.58 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,425.58 / $3,425.58 / $3,425.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,520.18 / $3,694.44 / $4,426.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $6,328.40 / $7,696.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,520.18 / $3,694.44 / $4,426.35