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Pennsylvania rates for HCPCS 80155

Caffeine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $104.88 / $161.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $30.08 / $32.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.66 / $86.56 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.35 / $50.14 / $112.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $35.09 / $55.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $22.76 / $52.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.23 / $106.23 / $106.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.24 / $104.88 / $161.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $31.24 / $159.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $56.08 / $128.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $37.14 / $55.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $38.57 / $38.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $38.57 / $38.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $23.14 / $57.86