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Pennsylvania rates for HCPCS 80365

Oxycodone

Facilitymedian $17 · 10th–90th $10–$57,5440%10%20%10th90th$17Professionalmedian $15 · 10th–90th $10–$280%20%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
$20.42 / $20.42 / $20.42
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
$7.94 / $218.78 / $724.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
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
$10.47 / $12.02 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $33.88