go back

Pennsylvania rates for HCPCS M0245

Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $128.82 / $426.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31