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Pennsylvania rates for HCPCS 80235

Drug Assay Lacosamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.03 / $76.95 / $118.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $19.60 / $28.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $16.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.64 / $121.59 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.15 / $21.15 / $21.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $35.24 / $79.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $31.39 / $39.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $15.99 / $36.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.18 / $67.04 / $128.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $16.89 / $17.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.05 / $73.72 / $136.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $21.42 / $111.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.94 / $45.10 / $90.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.12 / $31.39 / $39.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.11 / $27.11 / $29.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.86 / $27.11 / $29.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $16.27 / $46.09