go back

Pennsylvania rates for HCPCS 80353

Cocaine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $10.72 / $11.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $91.20 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $26.92 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $61.66 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.02 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.79 / $31.62