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Pennsylvania rates for HCPCS 80169

Everolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $39.20 / $102.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.99 / $13.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.69 / $84.01 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $10.71 / $10.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $17.84 / $40.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $15.69 / $22.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $10.61 / $18.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.42 / $45.38 / $182.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $13.00 / $13.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $36.34 / $61.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $11.12 / $56.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $21.03 / $45.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $15.69 / $22.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $20.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $13.73 / $20.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.92 / $27.63