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Pennsylvania rates for HCPCS 80198

Theophylline

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $38.45 / $59.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $12.60 / $13.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.36 / $92.66 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.30 / $18.82 / $46.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $16.52 / $24.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $8.34 / $19.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.68 / $29.58 / $68.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $36.06 / $59.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $12.64 / $58.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.47 / $21.50 / $46.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $16.52 / $24.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $14.14 / $14.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.44 / $14.14 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $9.05 / $24.79