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Porfimer Injection

Pennsylvania rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Rates data updated July 2026.

How much does Porfimer Injection cost?

$23,988per 75 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23,988 for each 75 mg of this drug. The price depends on where it is billed: about $23,988 from a physician practice, and about $37,154 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 75 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$23,988
At a hospital outpatient department
$37,154

The same drug, in the same amount, costs 55% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$23,988$22,909 to $23,988
FacilityA hospital or hospital-owned outpatient department$37,154$30,200 to $52,481

How much rates vary

Facilitymedian $37,154 · 10th to 90th $23,988 to $66,069Professionalmedian $23,988 · 10th to 90th $22,387 to $24,547
$10K$20K$50K$100Kfacility $37,154professional $23,988

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$37,153.52
Typical High
$61,659.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$23,988.33
Typical High
$23,988.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$23,442.29
Typical High
$34,673.69
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$83,176.38
Typical High
$89,125.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$23,988.33
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$8,912.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$35,481.34
Typical High
$61,659.50
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$22,387.21
Median
$23,988.33
Typical High
$31,622.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,079.46
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$22,908.68
Median
$23,442.29
Typical High
$27,542.29

Where Pennsylvania sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 13th of 51

$23,988

NJ $23,988NC $21,878

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.