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Pennsylvania rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $34.45 / $52.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.39 / $52.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $82.98 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $9.88 / $9.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.33 / $16.88 / $42.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $14.46 / $22.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $7.48 / $17.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $34.45 / $52.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $10.77 / $52.33
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.49 / $19.26 / $42.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $14.46 / $22.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.67 / $12.67 / $12.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $12.67 / $18.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $8.33 / $22.20