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Pennsylvania rates for HCPCS 80377

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 7 or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.05 / $0.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $19.66 / $19.66
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $14.06 / $14.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $23.29 / $29.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $7.92 / $53.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $12.62 / $12.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $23.29 / $29.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $14.51 / $40.61