INJECTION, PEMBROLIZUMAB, 1 MG AND BERAHYALURONIDASE ALFA-PMPH

Payers reporting HCPCS J9277

Payer pricing summary

Low

$31

Average

$13.7k

Median

$9.8k

High

$65.0k

Payer rate distribution

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#
1	UnitedHealthcare facility · fee schedule · outpatient · +8 other terms	29	$32	$45	$13	29%	—	$17 – $58
2	Molina facility · case rate · outpatient · +4 other terms	21	$6.6k	$5.6k	$3.4k	60%	—	$35 – $11.7k
3	Aetna facility · fee schedule · outpatient · +9 other terms	20	$32	$42	$10	24%	—	$32 – $59
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	18	$49	$45	$13	30%	—	$17 – $69
5	Caresource facility · case rate · outpatient · +2 other terms	17	$6.9k	$6.4k	$3.3k	51%	—	$64 – $11.9k
6	Cigna facility · fee schedule · outpatient · +5 other terms	16	$32	$8.8k	$15.6k	176%	—	$32 – $47.9k
7	Anthem facility · case rate · outpatient · +6 other terms	15	$6.9k	$7.2k	$2.5k	35%	—	$32 – $11.7k
8	Optum facility · case rate · outpatient · +2 other terms	13	$6.3k	$6.7k	$1.8k	26%	—	$4.5k – $10.6k
9	Medical Mutual facility · fee schedule · outpatient · +2 other terms	12	$32	$50	$23	46%	—	$32 – $103
10	Humana facility · fee schedule · outpatient · +8 other terms	11	$32	$32	$0	1%	—	$32 – $33
11	WellCare fee schedule · outpatient · +3 other terms	11	$33	$33	$0	1%	—	$33 – $34
12	Ambetter fee schedule · outpatient · +4 other terms	10	$63	$65	$11	17%	—	$54 – $87
13	Devoted facility · fee schedule · outpatient · +1 other terms	9	$32	$32	—	—	—	$32 – $32
14	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$28.6k	$44.2k	$30.7k	69%	—	$112 – $119.2k
15	Regence fee schedule · outpatient	9	$32	$32	—	—	—	$32 – $32
16	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	5	$295	$296	$79	27%	—	$157 – $402
17	Amerihealth Caritas facility · fee schedule · outpatient · +1 other terms	4	$61	$61	—	—	—	$61 – $61
18	Aetna Better Health facility · fee schedule · outpatient · +2 other terms	3	$34	$34	—	—	—	$34 – $34
19	Bcbs Tx facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$34	$55	$31	57%	—	$24 – $104
20	First Health professional · fee schedule · both · +2 other terms	3	$36	$36	—	—	—	$36 – $36
21	Medicare facility · fee schedule · outpatient	3	$32	$32	—	—	—	$32 – $32
22	Bcbs Al facility · case rate · outpatient	2	$31	$31	—	—	—	$31 – $31
23	Bcbs Id fee schedule · outpatient	2	$32	$32	—	—	—	$32 – $32
24	Cigna Healthspring facility · case rate · outpatient	2	$33	$33	$1	3%	—	$32 – $34
25	Highmark facility · case rate · outpatient · +2 other terms	2	$33	$33	$1	3%	—	$32 – $34

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← Hospitals reporting HCPCS J9277 · Snapshot 20261111T120946Z-9134e7f7