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Pennsylvania rates for HCPCS 80203

Zonisamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $54.72 / $115.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.02 / $9.59 / $11.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $7.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.48 / $81.13 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $17.22 / $38.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $15.28 / $21.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $10.60 / $17.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.83 / $32.31 / $76.30
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $10.23 / $13.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.25 / $39.40 / $140.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $10.73 / $54.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $20.53 / $43.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $15.28 / $21.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $19.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $13.25 / $19.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.68 / $23.06