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Pennsylvania rates for HCPCS 80361

Opiates, 1 or more

Facilitymedian $56 · 10th–90th $12–$8,5110%10%20%10th90th$56Professionalmedian $15 · 10th–90th $11–$320%50%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $28.84 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $107.15 / $154.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $33.88