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Pennsylvania rates for HCPCS M0243

Intravenous Infusion Or Subcutaneous Injection Casirivimab And Imdevimab Includes Infusion Or Injection And Post Administration Monitoring (Desc Rvsd 6/3/21)

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.15 / $424.15 / $424.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.15 / $424.15 / $424.15