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Pennsylvania rates for HCPCS 80220

Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $33.46 / $80.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $13.38 / $15.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.38 / $83.61 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $14.54 / $14.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.25 / $23.71 / $55.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $8.78 / $23.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.00 / $25.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.85 / $49.58 / $357.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $13.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $44.04 / $81.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $14.54 / $76.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $22.98 / $61.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $21.04 / $26.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $18.64 / $20.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $18.64 / $20.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $22.37 / $22.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.18 / $31.69