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Pennsylvania rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $55.92 / $197.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $11.72 / $24.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.11
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.94 / $52.99 / $752.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $88.71 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $10.56 / $10.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $18.03 / $44.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $15.69 / $23.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $10.61 / $18.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $36.93 / $85.27
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $13.00 / $14.30
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $50.10 / $117.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $53.75 / $166.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $11.81 / $55.92
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,547.98 / $2,547.98 / $2,547.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $20.58 / $44.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $15.69 / $23.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $13.54 / $19.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $8.67 / $24.78