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Pennsylvania rates for HCPCS 80159

Drug Assay Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $54.79 / $90.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $14.68 / $19.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.14 / $113.16 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.72 / $15.72 / $15.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $26.20 / $58.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $23.13 / $29.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $11.89 / $27.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $40.58 / $75.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $18.00 / $18.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $51.18 / $84.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $16.32 / $83.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $29.89 / $67.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $23.13 / $29.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $20.14 / $27.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.11 / $36.86