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Pennsylvania rates for HCPCS 80143

Acetaminophen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.59 / $76.98 / $134.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $13.48 / $17.89
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $27.37 / $1,024.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.38 / $83.61 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $14.54 / $14.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $24.23 / $54.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $21.04 / $27.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.00 / $25.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.80 / $28.20 / $94.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $13.00 / $16.28
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $25.93 / $57.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $70.50 / $171.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $15.28 / $68.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $24.83 / $61.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $21.04 / $26.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $20.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $18.64 / $20.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $28.89