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Pennsylvania rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $34,732.60 / $58,997.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,789.46 / $23,789.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,559.41 / $23,229.71 / $34,844.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,229.71 / $23,229.71 / $23,229.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.50 / $35,684.19 / $58,997.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $23,789.46 / $37,111.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,789.46 / $23,789.46 / $23,789.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $29,853.44