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Pennsylvania rates for HCPCS 80365

Oxycodone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $9.77 / $11.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
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 / $218.78 / $724.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $19.05 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.30 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.49 / $33.88