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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
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
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
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $23.44 / $36.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $23.99 / $53.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
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 / $15.14 / $33.88