go back

Pennsylvania rates for HCPCS Q4212

AlloGen, per cc

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,774.40 / $3,264.00 / $3,264.00