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Pennsylvania rates for HCPCS M0248

Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the COVID-19 public health emergency

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.82 / $789.53 / $789.53
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69,999.30 / $69,999.30 / $69,999.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.49 / $706.49 / $706.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.49 / $706.49 / $706.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.33 / $913.31 / $1,390.43